Individual
KHALED ALBASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3505 S MERCY RD, GILBERT, AZ 85297-0427
(480) 786-9100
Mailing address
3505 S MERCY RD, GILBERT, AZ 85297-0427
(480) 612-2007
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
29384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620212
—
AZ
Enumeration date
06/04/2006
Last updated
01/05/2017
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