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Individual
S M REZA KHALAFI
Active
Individual
S M REZA KHALAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J7032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115815604
—
TX
01
—
P00292548
RAILROAD MEDICARE
—
Enumeration date
07/13/2006
Last updated
02/11/2019
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