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Individual

DR. SANY T KHABBAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036-083867
IL
2084N0400X
Neurology Physician
Primary
47412
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036083867 2
IL
05
34593500
IL
05
34593500
WI
Enumeration date
12/05/2006
Last updated
09/29/2025
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