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Organization

MUSA KHALIQI MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI LABRECQUE (ACCTS MGR)
(702) 453-3799
Entity
Organization

Contact information

Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 423-3151
Mailing address
4790 CAUGHLIN PKWY # 451, RENO, NV 89519-0907
(702) 453-3799
(702) 453-5741

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
13252
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13252
NV LIC
NV
Enumeration date
07/31/2012
Last updated
07/31/2012
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