Provider Demographics
NPI:1326222639
Name:ALIKHAN, LLC
Entity Type:Organization
Organization Name:ALIKHAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:INAYAT
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALIKHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-945-2558
Mailing Address - Street 1:441 S 48TH ST
Mailing Address - Street 2:SUITE #102
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2303
Mailing Address - Country:US
Mailing Address - Phone:480-945-2558
Mailing Address - Fax:480-945-2354
Practice Address - Street 1:441 S 48TH ST
Practice Address - Street 2:SUITE #102
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2303
Practice Address - Country:US
Practice Address - Phone:480-945-2558
Practice Address - Fax:480-945-2354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ129852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP0731430OtherBLUE CROSS
AZ196768Medicaid
AZP0731430OtherBLUE CROSS
AZZ73761Medicare PIN
AZZ102393Medicare PIN