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Contact Information

MAHMOOD KHAN, MD
2002 N STOCKTON HILL RD STE 104
KINGMAN, AZ86401-4698
 Phone: 928-692-1010
 Fax: 928-692-7070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MAHMOOD KHAN · (Male)

NPI # 1336339175
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2007
Last updated 03/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 24503
  • AZ Medicaid 376691
  • Other 1285953950 MEDICARE GROUP NPI
  • AZ Other 1336339175 NPPES
Hospital affiliation(s)
  • KINGMAN REGIONAL MEDICAL CENTER - (Acute Care)
    3269 STOCKTON HILL ROAD
    KINGMAN, AZ 86409
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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