Individual
DR. OMAR S KHOKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3000
(309) 664-3026
Mailing address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3000
(309) 664-3026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36117349
IL
207RG0100X
Gastroenterology Physician
Primary
36117349
IL
Other
Enumeration date
05/01/2007
Last updated
10/15/2014
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