Organization
CENTER FOR NEUROLOGY AND STROKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVINASH S KHATTER MD (MANAGING PARTNER)
(602) 335-0300
Entity
Organization
Contact information
Practice address
222 W THOMAS RD, STE 110, PHOENIX, AZ 85013-4419
(602) 406-3605
(602) 406-7175
Mailing address
6036 N 19TH AVE, STE 506, PHOENIX, AZ 85015-2106
(602) 335-0300
(602) 249-3118
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
38009
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65149
MEDICARE ID
—
Enumeration date
05/30/2007
Last updated
02/20/2008
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