Individual
ABBAS KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 W MARKET ST, LIMA, OH 45805-2745
(419) 222-0808
(419) 222-0864
Mailing address
825 W MARKET ST, LIMA, OH 45805-2745
(419) 222-0808
(419) 222-0864
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35074237K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140783
ANTHEM
OH
05
—
2080242
—
OH
Enumeration date
08/03/2005
Last updated
06/28/2010
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