Individual
POUYAN KHEIRKHAH RAHIMABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 N OAK ST, HINSDALE, IL 60521-3829
(708) 245-4013
Mailing address
391 CRESTWOOD RD, WOOD DALE, IL 60191-2551
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.162817
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
06/13/2024
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