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Organization

ZAK MEDICAL CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PERWAIZ KAHN M.D. (PRESIDENT)
(928) 788-1911
Entity
Organization

Contact information

Practice address
5300 S HIGHWAY 95 STE I, SUITE I, FORT MOHAVE, AZ 86426-9251
(928) 788-1911
(928) 788-1920
Mailing address
PO BOX 10290, FORT MOHAVE, AZ 86427-0290
(928) 788-1911
(928) 788-1920

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34691
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-1251773-9
CORPORATION NUMBER
AZ
05
999295
AZ
Enumeration date
11/01/2006
Last updated
06/21/2018
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