Individual
DR. ABDERRAHIM KHOMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7050
(864) 560-0800
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
2430
GA
207RX0202X
Medical Oncology Physician
018003
ME
207RX0202X
Medical Oncology Physician
Primary
31217
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312174
—
SC
01
—
P01798105
RAILROAD MEDICARE
SC
01
—
SC89233365
MEDICARE PIN
SC
01
—
SC89234746
MEDICARE PIN
SC
Enumeration date
07/03/2007
Last updated
01/28/2021
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