Individual
ESAM ALKHAWAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-8725
Mailing address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-8725
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-088365
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2706058
—
OH
Enumeration date
10/19/2006
Last updated
10/07/2011
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