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Individual

ZIAD A EL-KHALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 E GENESEE ST, STE 300, SYRACUSE, NY 13210-1892
(315) 471-1044
(315) 474-4312
Mailing address
1000 E GENESEE ST, STE 300, SYRACUSE, NY 13210-1892
(315) 471-1044
(315) 474-4312

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
250522
NY
207RI0011X
Interventional Cardiology Physician
250522
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02621561
NY
Enumeration date
09/27/2005
Last updated
04/12/2010
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