Individual
MOHAMMAD KHALOUCK ABDRABBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10600 MONTGOMERY RD, MONTGOMERY, OH 45242-4463
(513) 853-9250
Mailing address
10600 MONTGOMERY RD, MONTGOMERY, OH 45242-4463
(513) 853-9250
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.143765
OH
207RG0100X
Gastroenterology Physician
4301055436
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300207909
TAX ID
MI
05
—
4744440
—
MI
Enumeration date
08/10/2005
Last updated
04/25/2024
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