Individual
DR. ALI A. KHAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 NE 28TH ST STE E, LINCOLN CITY, OR 97367-4524
(541) 994-8114
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD23308
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074703
—
OR
Enumeration date
06/04/2006
Last updated
11/04/2020
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