Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 49983 | AZ |
NPI | 1013036516 |
---|---|
Provider Name | Amer Al-Khoudari |
First Address | Chandler, AZ 85225-2915 |
Second Address | Chandler, AZ 85225-2915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 03/08/2020 |