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Individual
ALEXANDER KHORUTS
Active
Individual
ALEXANDER KHORUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35139
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059063000
—
MN
05
—
0982835
—
IA
01
—
1019331
PREFERRED ONE
MN
01
—
114409
U CARE
MN
01
—
12G03KH
BCBS
MN
01
—
29-00011
MEDICA-PRIMARY
MN
01
—
2911498
MEDICA-CHOICE
MN
01
—
768196
ARAZ
—
01
—
HP13689
HEALTH PARTNERS
MN
Enumeration date
10/11/2006
Last updated
12/06/2017
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