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FADIA K HABIB-KHAZEN MD

Allergy and Immunology

Phoenix, Arizona

Provider NPI: 1063404531

Provider Information:
 FADIA K HABIB-KHAZEN MD


Practice Location:
2236 W BETHANY HOME RD SUITE 2 PHOENIX, AZ 85015 US
Tel: 602-242-4592  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
AZ22782

Other Provider Identifiers:

IssuerNumberStateType
007204AZ05
E8310202
WDBGB0104
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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