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Individual
DR. BORIS KHARITON
Active
Individual
DR. BORIS KHARITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
110866
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203718
MEDICARE OF ILLINOIS
MO
05
—
204975718
—
MO
01
—
250013155
MEDICARE RAILROAD OF IL
MO
01
—
250013745
MEDICARE RAILROAD OF MO
MO
Enumeration date
03/23/2006
Last updated
01/08/2024
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