Individual
KEYVAN KOOCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11000 N SCOTTSDALE RD, STE 120, SCOTTSDALE, AZ 85254-6130
(480) 455-3000
Mailing address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(480) 718-0568
(480) 307-6676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34947
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108994
—
AZ
Enumeration date
05/09/2006
Last updated
06/25/2020
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