Individual
DR. KHALIL B KORKOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4124 MUNSON ST NW, SUITE A, CANTON, OH 44718-2979
(330) 492-6662
(330) 492-6918
Mailing address
4736 ARMANDALE AVE NW, CANTON, OH 44718-2279
(330) 966-7762
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35046973
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000137194
ANTHEM
OH
05
—
0559819
—
OH
01
—
341712626002
CHAMPUS
OH
01
—
341712626027
CARESOURCE
OH
01
—
P52523509
MULTIPLAN
OH
Enumeration date
01/10/2006
Last updated
07/08/2007
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