Healthcare Provider Details

I. General information

NPI: 1962727818
Provider Name (Legal Business Name): NAWAL AHMED KHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAWAL AHMED MD

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 N 91ST ST STE A115
SCOTTSDALE AZ
85258-5036
US

IV. Provider business mailing address

191 W BUENA VISTA DR
TEMPE AZ
85284-2253
US

V. Phone/Fax

Practice location:
  • Phone: 888-803-3370
  • Fax:
Mailing address:
  • Phone: 773-971-3268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number49085
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number203791
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: