Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 2004001644 | MO |
N | 207RN0300X | Nephrologist | 28553 | AL |
Y | 207RN0300X | Nephrologist | 44054 | AZ |
NPI | 1043219389 |
---|---|
Provider Name | Hasan Khamash |
First Address | Phoenix, AZ 85054-4502 |
Second Address | Phoenix, AZ 85054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 10/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H93316 | (02) | MO |