Individual
DR. SOOFIA M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0940
(602) 933-2424
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
128433
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
50284
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029424
—
AZ
Enumeration date
05/15/2012
Last updated
08/23/2019
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