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Individual

DR. MUHAMMAD AZAM KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3636 STOCKTON HILL RD, KINGMAN, AZ 86409-0514
(928) 757-3636
(928) 757-3622
Mailing address
3636 STOCKTON HILL RD, N/A, KINGMAN, AZ 86409-0514
(928) 757-4398
(928) 757-7224

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9994
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214320
AZ
01
WCJAZ01
MEDICARE PTAN
AZ
Enumeration date
09/09/2005
Last updated
02/27/2014
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