Provider Demographics
NPI:1477753903
Name:KHAN, NAWAZISH ALI (MD)
Entity type:Individual
Prefix:DR
First Name:NAWAZISH
Middle Name:ALI
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14200 W CELEBRATE LIFE WAY
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-3007
Mailing Address - Country:US
Mailing Address - Phone:623-207-3000
Mailing Address - Fax:623-207-3921
Practice Address - Street 1:18000 STUDEBAKER RD STE 800
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2671
Practice Address - Country:US
Practice Address - Phone:562-735-3226
Practice Address - Fax:833-438-9659
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2025-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101245627208M00000X
AZ50725207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist