Individual
KAMOLIDDIN KHODJAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8000
Mailing address
2630 ELM HILL PIKE STE 350, NASHVILLE, TN 37214-3176
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
267930
AZ
367500000X
Certified Registered Nurse Anesthetist
RN730555
PA
Other
Enumeration date
08/25/2020
Last updated
01/31/2024
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