Individual
KHALID MOHAMAD MIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OMS IV
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Mailing address
5923 RENAISSANCE PL, TOLEDO, OH 43623-4709
(567) 408-2002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.014460
OH
Other
Enumeration date
04/11/2016
Last updated
06/26/2020
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