Individual
MASOOD AHMAD KISANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 E MCDOWELL RD, PHOENIX, AZ 85006-2502
(602) 239-4777
Mailing address
832 N BENSON LN, CHANDLER, AZ 85224-3411
(602) 750-1587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77390
AZ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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