Individual
ABDULRAHMAN KHAMISS RAGEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 W ILES AVE, SPRINGFIELD, IL 62704-4174
(217) 698-3030
(217) 718-5687
Mailing address
5221 PARAMOUNT PKWY STE 420, MORRISVILLE, NC 27560-5491
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036158918
IL
207W00000X
Ophthalmology Physician
2021-02042
NC
Other
Enumeration date
04/20/2018
Last updated
05/01/2023
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