Individual
KHAZRAJ ABBAS FADHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
Mailing address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
73201
GA
207R00000X
Internal Medicine Physician
MD.35140
AL
208M00000X
Hospitalist Physician
Primary
73201
GA
Other
Enumeration date
06/27/2012
Last updated
05/22/2020
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