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Individual
KHALED A DABASH
Active
Individual
KHALED A DABASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036089170
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010060
HEALTH ALLIANCE
IL
05
—
036089170
—
IL
01
—
5522926
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
06/16/2005
Last updated
07/15/2008
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