Individual
KHALED MAHLIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 COLUMBUS ST, BEDFORD, OH 44146-2819
(440) 232-6467
(440) 786-9664
Mailing address
6 COLUMBUS ST, BEDFORD, OH 44146-2819
(440) 232-6467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35071455
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065652
—
OH
Enumeration date
02/22/2006
Last updated
07/01/2011
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