Khattab, Mazen
Khattab, Mazen is an individual health care provider with primary practice located at 2925 W Rose Garden Ln Ste 110 , Phoenix AZ 85027-3135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Khattab, Mazen can be contacted via phone (623) 265-7215.Contact Information
Primary practice address
2925 W Rose Garden Ln Ste 110
Phoenix AZ 85027-3135
Phone: (623) 265-7215
Fax: (833) 465-1462
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 42859 | Arizona |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 42859 | Arizona |
Profile Details
NPI number | 1205804283 |
---|---|
LBN Legal business name | Khattab, Mazen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Sep 11th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205804283 | NPPES |
Ohio | MEDICAID | 2561044 | |
Ohio | MEDICAID | 529099 |
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