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KHATIB FAMILY PRACTICE PLC
NPI 1528251667
Family Medicine in Bullhead City, AZ

Active since August 22, 2007CLIA 03D1032596 · Waiver
2755 SILVER CREEK RD, SUITE 109, BULLHEAD CITY, AZ 86442(928) 763-9009(928) 763-9292 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Khatib Family Practice Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHATIB FAMILY PRACTICE PLC (NPI 1528251667) is a healthcare organization registered as a family medicine in Bullhead City, Arizona and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Susan Khatib, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1528251667
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKHATIB FAMILY PRACTICE PLC
Location Address2755 SILVER CREEK RD, SUITE 109Bullhead City, AZ 86442-7904
Mailing AddressPo Box 20758Bullhead City, AZ 86439-0758 · (928) 763-9009 · Fax (928) 763-9292
Phone(928) 763-9009
Fax(928) 763-9292
Organization SubpartNo
Authorized OfficialSusan KhatibOffice Manager · (928) 763-9009
Enumeration DateAugust 22, 2007
Last NPPES UpdateDecember 18, 2007
✔ NPI 1528251667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 26804
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2755 SILVER CREEK RD, Bullhead City, AZ 86442
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Other Identifiers 2

Medicare PIN100305AZ
Medicare UPING74455AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1032596

Khatib Family Practice Plc · Bullhead City, AZ
Active · expires Oct 25, 2026
CLIA Number03D1032596
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorNadim B. Khatib, MD
Laboratory Phone(928) 763-9009
Laboratory LocationKhatib Family Practice Plc2755 Silver Creek Rd, Bldg B, Ste 109, Bullhead City, AZ 86442
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES EUGENE BRUSO M.D.
Radiology (Radiation Oncology)
2755 SILVER CREEK RD, SUITE 115
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-3600
ARIZONA PATHOLOGY GROUP INC.
Clinical Medical Laboratory
2755 SILVER CREEK RD, SUITE 203
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-9077
DR. MALIK TARIQ RAHIM M.D.
Internal Medicine (Interventional Cardiology)
2755 SILVER CREEK RD, SUITE 217
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-6070
TRI-STATE RADIATION ONCOLOGY, INC.
Clinic/Center (Oncology, Radiation)
2755 SILVER CREEK RD, SUITE 115
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-3600
NADIM B KHATIB M.D.
Family Medicine
2755 SILVER CREEK RD, SUITE 109
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-9009
DR. LEROY CARTER SMITH M.D.
Surgery
2755 SILVER CREEK RD, SUITE 111
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-7163
ROCKY MOUNTAIN HOLDINGS, LLC
Ambulance (Air Transport)
2755 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County (888) 636-4438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khatib Family Practice Plc's NPI number?

The NPI number for Khatib Family Practice Plc is 1528251667. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Khatib Family Practice Plc located?

Khatib Family Practice Plc is located at 2755 Silver Creek Rd Suite 109, Bullhead City, AZ 86442. The listed phone number is (928) 763-9009.

What is Khatib Family Practice Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Khatib Family Practice Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1032596) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Khatib Family Practice Plc was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.