Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 32659 | AZ |
NPI | 1053308486 |
---|---|
Provider Name | Dr. Irfan Khalid |
First Address | Scottsdale, AZ 85260-2217 |
Second Address | Scottsdale, AZ 85258-4510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 10/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
888638 | (05) | AZ |
G91482 | (02) | AZ |
P00301627 | RAILROAD MEDICARE (01) | AZ |