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Individual
DR. ALAN OMID KHADAVI
Active
Individual
DR. ALAN OMID KHADAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A109088
CA
207KA0200X
Allergy Physician
227126
NY
208000000X
Pediatrics Physician
227126
NY
Other
Enumeration date
07/04/2006
Last updated
06/22/2015
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