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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205804283 NPPES
Ohio MEDICAID 2561044
Ohio MEDICAID 529099

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