Individual
KHALED MANASRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSA
Contact information
Practice address
904 JEFFERY CT, SCHAUMBURG, IL 60193-1332
(224) 288-8847
Mailing address
904 JEFFERY CT, SCHAUMBURG, IL 60193-1332
(224) 288-8847
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238.000648
IL
363AS0400X
Surgical Physician Assistant
Primary
238.000648
IL
Other
Enumeration date
09/12/2019
Last updated
11/09/2021
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