Individual
DR. AMY RACHELLE A TELERON-KHORSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 WOODLAKE TRL STE C, MOUNT VERNON, OH 43050-9573
(740) 392-7337
(740) 392-7333
Mailing address
10 WOODLAKE TRL STE C, MOUNT VERNON, OH 43050-9573
(740) 392-7337
(740) 392-7333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35126775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135977
—
OH
Enumeration date
05/24/2010
Last updated
11/14/2024
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