Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 58695 | AZ |
NPI | 1245550854 |
---|---|
Provider Name | Dr. Rana Khaznadar |
First Address | Scottsdale, AZ 85258-5631 |
Second Address | Mesa, AZ 85202-4778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 24/09/2020 |