Individual
RAFIK KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-1222
Mailing address
PO BOX 931286, CLEVELAND, OH 44193-1494
(888) 719-9012
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.061951
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025735
ANTHEM BC/BS
OH
05
—
0141957
—
OH
01
—
026909600
BLACKLUNG
OH
01
—
300076005
RRMC
OH
01
—
58042
QUALCHOICE
OH
01
—
738798
BUCKEYE COMMUNITY HEALTH PLAN
OH
Enumeration date
09/01/2006
Last updated
09/24/2008
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