Individual
DR. MATTHEW KHUMALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4475 S I 19 FRONTAGE RD STE 255, GREEN VALLEY, AZ 85614-6365
(520) 393-4863
Mailing address
2181 E PECOS RD, SUITE #1, CHANDLER, AZ 85225-6140
(480) 398-3638
(480) 398-3643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37296
AZ
207QS0010X
Sports Medicine (Family Medicine) Physician
37296
AZ
208100000X
Physical Medicine & Rehabilitation Physician
37296
AZ
Other
Enumeration date
02/06/2007
Last updated
01/10/2020
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