Khatib Family Practice Plc

LBN: Khatib Family Practice Plc
Khatib Family Practice Plc is an health care organization with primary practice located at 2755 Silver Creek Rd Suite 109, Bullhead City AZ 86442-7904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Khatib Family Practice Plc can be contacted via phone (928) 763-9009, or through Khatib, Susan via phone (928) 763-9009.

Contact Information

Primary practice address
2755 Silver Creek Rd Suite 109 Bullhead City AZ 86442-7904
Phone: (928) 763-9009
Fax: (928) 763-9292
Website:
Map and Directions
Authorized official contact:
Name: Khatib, Susan
Phone: (928) 763-9009

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26804 Arizona

Profile Details

NPI number 1528251667
LBN Legal business name Khatib Family Practice Plc
DBA Doing business as
Authorized official Khatib, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2007
Last updated Dec 18th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528251667 NPPES
Arizona MEDICAID 434572001

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