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Individual

KAMAL KHALAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1836
(814) 938-1834
Mailing address
122 ASPEN RD, PUNXSUTAWNEY, PA 15767-2658
(814) 938-8263
(866) 832-1744

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
IND 038962-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0950039
PA
01
542187
BLUE SHIELD
PA
Enumeration date
06/21/2005
Last updated
07/08/2013
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