Individual
BAHAEDDIN A. EL KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4676 DOUGLAS CIR NW, CANTON, OH 44718-3619
(330) 494-1116
Mailing address
4676 DOUGLAS CIR NW, CANTON, OH 44718-3619
(330) 494-1116
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35141623
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35.141623
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD479866
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442242
—
OH
Enumeration date
04/11/2017
Last updated
04/05/2024
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