MEDICARE: KEIKO SATO FAKHRAIE D.O.

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
1	207Q00000X	Family Medicine Physician	005309	AZ

General Provider Information

NPI Number	:	1891991642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEIKO SATO FAKHRAIE D.O.

Provider Business Mailing Address
First Line	:	12361 W BOLA DR STE 109
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85378-9021
Country	:	US
Telephone Number	:	623-227-1000
Fax Number	:	623-227-2000

Provider Business Practice Location Address
First Line	:	2501 N STOCKTON HILL RD STE 108
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-4140
Country	:	US
Telephone Number	:	928-255-5050
Fax Number	:	888-571-5897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	01/03/2025

Similar Medicare Providers

1629471412 — MR. PHILLIP WAYNE CLARK DNP
Practice Location Address:

2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ
86401-4140

Practice Phone: 928-255-5050
Practice Fax: 888-571-5897

1245268788 — JULIE D WAITE ARNP
Practice Location Address:

2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ
86401-4140

Practice Phone: 928-255-5050
Practice Fax:

1942356365 — ZHAO LIU M.D., PHD.
Practice Location Address:

2501 N STOCKTON HILL RD STE 102
KINGMAN, AZ
86401-4140

Practice Phone: 928-681-2772
Practice Fax: 928-681-2833

1083865737 — DEERING THERAPY SERVICES LTD
Practice Location Address:

2501 STOCKTON HILL RD , SUITE 104
KINGMAN, AZ
86401-4140

Practice Phone: 928-753-4263
Practice Fax: 928-753-1173

1164702197 — SANTOS INTERVENTIONAL PAIN MEDICINE, P.C.
Practice Location Address:

2501 STOCKTON HILL RD , SUITE 106
KINGMAN, AZ
86401-4140

Practice Phone: 928-718-7210
Practice Fax: 928-718-7216

1629327010 — MARY LEE BECK NP
Practice Location Address:

2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ
86401-4140

Practice Phone: 928-255-5050
Practice Fax: 888-571-5897

Directions to “ KEIKO SATO FAKHRAIE D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.