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Individual

ALI SALAR KHALILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11100 EUCLID AVE, SUITE 737, MAIL STOP 6004, CLEVELAND, OH 44106-1716
(216) 844-1765
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
57-018565
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0084113
OH
Enumeration date
03/05/2011
Last updated
09/26/2013
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