Organization
PHOENIX HEART, PLLC
Active
Parent organization
PHOENIX HEART, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX HEART, PLLC
Authorized official
SHAKEEL O KHAN MD (AUTHORIZED OFFICIAL)
(602) 298-7777
Entity
Organization
Contact information
Practice address
5859 W TALAVI BLVD STE 100, GLENDALE, AZ 85306-1870
(602) 298-7777
(602) 298-6440
Mailing address
5859 W TALAVI BLVD STE 100, GLENDALE, AZ 85306-1870
(602) 298-7777
(602) 298-6440
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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