Individual
DR. EYAD KHABBAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 HILLCREST DR, BP-4109, PUNXSUTAWNEY, PA 15767-2605
(814) 938-4910
(814) 938-5461
Mailing address
81 HILLCREST DR, SUITE 2600, PUNXSUTAWNEY, PA 15767-2605
(814) 938-4910
(814) 938-5461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Y00000X
Otolaryngology Physician
004294
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207Y00000X
—
GA
01
—
311170846
UNIVERSITY EAR NOSE AND THROAT SPECIALISTS
—
Enumeration date
08/04/2008
Last updated
09/12/2014
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