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Individual

MR. URI KHAZAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2737 NAVARRE, BLDG B SUITE # 204, OREGON, OH 43616-3102
(419) 697-0011
(419) 697-7773
Mailing address
2737 NAVARRE, BLDG B SUITE # 204, OREGON, OH 43616-3102
(419) 697-0011
(419) 697-7773

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35059212
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0843289
OH
01
1117911
BUREAU OF WORKERS COMP
01
35059212
STATE LICENSE FEDERAL GOV
OH
Enumeration date
01/19/2006
Last updated
03/07/2023
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