Individual
MOHAMMAD ALI KHEZRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 S DOBSON RD STE 225, CHANDLER, AZ 85286-6170
(480) 728-5460
(480) 728-5461
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37112
AZ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
37112
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226724
—
AZ
Enumeration date
12/04/2006
Last updated
08/29/2025
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