Individual
KHALED BOUBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 ZOLLINGER RD, COLUMBUS, OH 43221-2849
(614) 293-4837
(614) 293-3125
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-4837
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036-135916
IL
207RN0300X
Nephrology Physician
Primary
35.132671
OH
208M00000X
Hospitalist Physician
036-135916
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254756
—
OH
Enumeration date
08/15/2009
Last updated
12/18/2020
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