Organization
S ISMAIL BOKHARI, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED ISMAIL BOKHARI M.D. (PHYSICIAN,OWNER)
(928) 757-1333
Entity
Organization
Contact information
Practice address
1720 E BEVERLY AVE, SUITE B, KINGMAN, AZ 86409-3567
(928) 757-1333
(928) 757-2367
Mailing address
1720 E BEVERLY AVE, SUITE B, KINGMAN, AZ 86409-3567
(928) 757-1333
(928) 757-2367
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11041
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206640
—
AZ
Enumeration date
10/02/2006
Last updated
05/08/2024
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