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General NPI Number Information
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NPI Number | 1053308486
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Entity Type | Individual
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Provider Name | IRFAN KHALID MD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | 10250 N 92ND ST SUITE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4510
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Country | US
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Telephone | 480-970-9649
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Fax | 480-970-9532
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Provider Business Mailing Address
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Address Line | 15029 N THOMPSON PEAK PKWY SUITE B11-525
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2217
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Country | US
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Telephone | 480-970-9649
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Fax | 480-970-9532
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 32659
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License Number State | AZ
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