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Organization

KHC GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BILAL R KAAKI M.D. (PRESIDENT)
(301) 637-3350
Entity
Organization

Contact information

Practice address
45 THOMAS JOHNSON DR, FREDERICK, MD 21702-4425
(301) 637-3350
(301) 576-5221
Mailing address
5419 HOLLYWOOD BLVD, C751, LOS ANGELES, CA 90027-3480
(301) 637-3350
(301) 576-5221

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D1034190
MD

Other

Enumeration date
11/09/2009
Last updated
11/09/2009
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