KHATIB FAMILY PRACTICE PLC NPI 1528251667

NPI Information

KHATIB FAMILY PRACTICE PLC is a family medicine in Bullhead City, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KHATIB FAMILY PRACTICE PLC NPI is 1528251667. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2755 SILVER CREEK RD
SUITE 109
BULLHEAD CITY, AZ
ZIP 86442-904
Phone: (928) 763-9009
Fax: (928) 763-9292

The provider's authorized official is Susan Khatib .
The authorized official title is Office Manager and has the following contact phone number (928) 763-9009.

The CLIA number assigned to this NPI record is 03D1032596 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2007 and was last updated on 12/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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