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NPI Code Detail

MEDICARE: HIDRK HEALTH CARE PC

MEDICARE: HIDRK HEALTH CARE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1831127638
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIDRK HEALTH CARE PC
Provider Business Mailing Address
First Line : PO BOX 10169
Second Line :
City : FORT MOHAVE
State : AZ
Zip : 86427-0169
Country : US
Telephone Number : 928-444-1257
Fax Number : 928-444-1299
Provider Business Practice Location Address
First Line : 967 HANCOCK RD
Second Line : SUITE 133
City : BULLHEAD CITY
State : AZ
Zip : 86442-5169
Country : US
Telephone Number : 928-444-1257
Fax Number : 928-444-1299
Authorized Official
Title or Position : OWNER
Name : MAJAZ ALI KHAN
Credential : DO
Telephone Number : 928-444-1257
Provider Enumeration Date : 06/29/2006
Last Update Date : 06/19/2008

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Directions to “HIDRK HEALTH CARE PC ” Practice Location

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