Individual
NECKLALL KHOOBLALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
253 S CANFIELD NILES RD, AUSTINTOWN, OH 44515-4082
(330) 792-9630
Mailing address
253 S CANFIELD NILES RD, AUSTINTOWN, OH 44515-4082
(330) 792-9630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0896277
—
OH
Enumeration date
12/28/2005
Last updated
04/17/2008
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