Individual
RHAZES KEVIN KHODADAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 FARRELL CT, CINCINNATI, OH 45233-1677
(513) 451-6871
(513) 451-6876
Mailing address
PO BOX 637676, CINCINNATI, OH 45263-0001
(513) 451-6871
(513) 451-6876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35080129K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2338554
—
OH
Enumeration date
08/15/2005
Last updated
10/24/2013
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