Organization
KAMAL KHALAF M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL KHALAF M.D. (OWNER)
(814) 938-8051
Entity
Organization
Contact information
Practice address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1836
Mailing address
122 ASPEN RD, PUNXSUTAWNEY, PA 15767-2658
(814) 938-8051
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD038962L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009500390003
—
PA
Enumeration date
07/17/2012
Last updated
07/17/2012
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