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Individual

DR. BILAL KHODR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME0072652
FL
208000000X
Pediatrics Physician
ME0072652
FL
208000000X
Pediatrics Physician
Primary
ME72652
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271389600
FL
01
41469
BLUE CROSS BLUE SHIELD
Enumeration date
03/20/2006
Last updated
10/27/2021
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