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Individual
HANEEN ABDUSSALAM KHAMAG
Active
Individual
HANEEN ABDUSSALAM KHAMAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248851
MA
207R00000X
Internal Medicine Physician
Primary
A127351
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1273510
—
CA
01
—
248851
MEDICAL BOARD
MA
Enumeration date
07/20/2011
Last updated
01/07/2015
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