Individual
KOROUSH KHALIGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 WYOMING STREET, DAYTON, OH 45409-2731
(937) 223-4461
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA056515
NJ
207RC0000X
Cardiovascular Disease Physician
MD066096-L
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
102020
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
25MA068440
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD041360-L
PA
207UN0901X
Nuclear Cardiology Physician
25MA056515
NJ
207UN0901X
Nuclear Cardiology Physician
MD041360-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1459106
HIGHMARK PA
PA
05
—
1580148
—
PA
05
—
20010114
—
PA
01
—
2026901
CAPITAL BLUE CROSS
PA
05
—
4643704
—
NJ
01
—
563332
AETNA US HEALTHCARE
PA
01
—
674485
HIGHMARK NJ
NJ
01
—
674485
KEYSTONE CAPITAL
PA
01
—
9051056
CIGNA PA
PA
01
—
P718311
OXFORD
PA
Enumeration date
06/09/2005
Last updated
04/16/2025
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