Healthcare Provider Details

I. General information

NPI: 1285677856
Provider Name (Legal Business Name): NAVED KHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 04/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S DOBSON RD
MESA AZ
85202-4707
US

IV. Provider business mailing address

9917 N 108TH ST
SCOTTSDALE AZ
85259-4837
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-4813
  • Fax:
Mailing address:
  • Phone: 480-659-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20125
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20125
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: