MAZEN KHATTAB (NPI# 1205804283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205804283 |
| Entity Type | Individual |
| Full Name | MAZEN KHATTAB |
| Credential | MD |
| Practice Address |
19646 N 27th Ave Ste 406 Phoenix AZ 85027-4028 |
| Mailing Address |
1760 E River Rd Ste. # 350 Tucson AZ 85718-5877 |
| Practice Telephone | 6235874868 |
| Practice Fax Number | 6235825300 |
| Mailing Telephone | 5205197775 |
| Mailing Fax Number | 5205197910 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2018-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
42859 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2561044 | 05 | |
| AZ | 529099 | 05 |
| Street Address |
19646 N 27TH AVE STE 406 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851840870 | Anita Palandri | Nurse Practitioner | 19646 N 27th Ave Ste 406, Phoenix, AZ 85027-4028 | 2016-10-03 |
| 1548224447 | Henry Lee | Internal Medicine | 19646 N 27th Ave Ste 406, Phoenix, AZ 85027-4028 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336384809 | Irwin W Tischler | Internal Medicine | 4638 E Berneil Dr, Phoenix, AZ 85028-5500 | 2008-12-11 |
| 1972766772 | Foluso N Ogunleye | Internal Medicine | 9250 N 3rd St Ste 3010, Phoenix, AZ 85020 | 2008-07-02 |
| 1740392893 | Teresita Co Barnett | Internal Medicine | 14660 N Coral Gables Dr, Phoenix, AZ 85023-6285 | 2006-08-31 |
| 1972555688 | Jerry Alan Olshan | Internal Medicine | 334 E Hatcher Rd, Phoenix, AZ 85020-2536 | 2006-05-17 |
| 1033161757 | Southwest Oncology & Hematology, PC | Internal Medicine | 3411 N 5th Avenue, Suite 400, Phoenix, AZ 85013-3899 | 2006-05-17 |
| 1083698955 | Surabhi Amar | Internal Medicine | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2005-12-02 |
| 1659363794 | Sucai Bi | Internal Medicine | 1441 N. 12th St, Phoenix, AZ 85006 | 2005-08-16 |
| 1093008336 | Amber L Flaherty | Internal Medicine | 2222 E Highland Ave, Ste. # 400, Phoenix, AZ 85016-4872 | 2011-05-19 |
| 1215166335 | Debra A Wong | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004 | 2009-07-10 |
| 1003056425 | Northwest Oncology & Hematology, Pllc | Internal Medicine | 19636 N 27th Ave, Suite 303, Phoenix, AZ 85027-4013 | 2009-02-25 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.