Khatali Headache and Pain Treatment Center LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

32176 Issued in AZ

Legal business name

KHATALI HEADACHE AND PAIN TREATMENT CENTER LLC

Practice address

10450 E Riggs Rd
Suite 102
Sun Lakes, AZ 85248-7758

Phone

(480) 626-5634

Fax

(480) 445-9322

NPI assigned

Feb 9, 2007

Last updated

Jan 26, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David N Calkins, MD

Title

Medical Director

Phone

(480) 626-5634

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1720129109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 E RIGGS RD",
            "address_2": "SUITE 102",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487758",
            "telephone_number": "480-626-5634",
            "fax_number": "480-445-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 E RIGGS RD",
            "address_2": "SUITE 102",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487758",
            "telephone_number": "480-626-5634",
            "fax_number": "480-445-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHATALI HEADACHE AND PAIN TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-626-5634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "32176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saranigh Ingui
• Allison Christine Jenkins, DPT
• Zachary Drey Johnson, PHARMD
• Ronald Eli Katich Jr., BCHIS
• Khatali Ambulatory Surgery Center, LLC
• Hal L Kime, D.O.
• Nilanjana Kothari
• Philip L Ku, M.D.
• Brianne Nicole Labella
• Lakeside Internal Medicine, PLLC

• Pain Medicine (Anesthesiology) Physician in Sun Lakes, AZ
• Providers in Sun Lakes, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.