Individual
ASIM OMER KHOGALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
854 E MORELOS ST, CHANDLER, AZ 85225-6465
(336) 255-5507
Mailing address
1623 SUNRISE VALLEY DR, GREENSBORO, NC 27405-5076
(336) 255-5507
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/12/2022
Last updated
02/05/2024
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