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General NPI Number Information
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NPI Number | 1710353123
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Entity Type | Individual
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Provider Name | MUHAMMAD ZAIN KHAN KHAKWANI MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 10815 W MCDOWELL RD STE 202
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City | AVONDALE
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State | AZ
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Zip | 85392-5010
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Country | US
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Telephone | 623-433-0202
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Fax | 623-433-0204
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Provider Business Mailing Address
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Address Line | 3815 E BELL RD STE 4500
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City | PHOENIX
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State | AZ
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Zip | 85032-2171
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Country | US
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Telephone | 602-633-3848
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Fax | 602-633-3841
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA10280900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 65839
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License Number State | AZ
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