Provider Demographics
NPI:1245550854
Name:KHAZNADAR, RANA (MD)
Entity type:Individual
Prefix:DR
First Name:RANA
Middle Name:
Last Name:KHAZNADAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9802 E MISSION LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5631
Mailing Address - Country:US
Mailing Address - Phone:806-683-9945
Mailing Address - Fax:
Practice Address - Street 1:1432 S DOBSON RD STE 512
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4778
Practice Address - Country:US
Practice Address - Phone:480-412-6336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ586952080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Single Specialty