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Individual

DR. DARRELL J KOHLI

Active
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Individual

DR. DARRELL J KOHLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
052758
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102758320
MI
01
1497792386
UP OPHTHALMOLOGY GR NPI
MI
01
180012681
RAILROAD MEDICARE
MI
01
180B160140
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/18/2005
Last updated
06/22/2020
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