Individual
KHAMAAL ALIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OCPRS
Contact information
Practice address
25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH 44122-5637
(216) 910-9015
(216) 910-9015
Mailing address
27451 TREMAINE DR APT 115-07, EUCLID, OH 44132-3450
(216) 954-0680
(216) 910-9015
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002312
OH
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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