Individual
DR. ASIM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 S VINEYARD, SUITE 131, MESA, AZ 85210-6889
(480) 986-7246
(480) 986-7252
Mailing address
4340 E INDIAN SCHOOL RD, SUITE 21473, PHOENIX, AZ 85018-5360
(480) 986-7246
(480) 986-7252
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
36668
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
36668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242246
—
AZ
01
—
2Z7342
HEALTHNET
—
01
—
36668
ARIZONA LICENSE
AZ
01
—
P00461169
RAILROAD MEDICARE
—
Enumeration date
07/31/2007
Last updated
07/21/2009
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