Individual
DR. MANSUR A. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9305 W THOMAS RD, SUITE 355, PHOENIX, AZ 85037-3328
(623) 907-8686
(623) 907-8440
Mailing address
PO BOX 1040, TOLLESON, AZ 85353-1040
(623) 907-8686
(623) 907-8440
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34541
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024635
—
AZ
01
—
2Z7084
HEALTH NET
AZ
Enumeration date
05/06/2006
Last updated
03/25/2014
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