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Individual

KHAWAJA K. HAMID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
170 JACKSON PIKE, GALLIPOLIS, OH 45631-1539
(740) 446-5129
(740) 446-5622
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5129
(740) 446-5622

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
21366
WV
207RX0202X
Medical Oncology Physician
Primary
35-07-0832
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000185150
UNISON MEDICAID
OH
01
000000205917
ANTHEM BCBS
01
001714128
MOUNTAIN STATE BCBS
05
0082093000
WV
01
0545753
MOLINA MEDICAID
OH
05
0545753
OH
01
084809638
TRI CARE
OH
01
310917085161
CARESOURCE MEDICAID
OH
01
830007568
RR MEDICARE
Enumeration date
05/31/2006
Last updated
01/21/2021
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