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Individual

KAMAL KHALAFI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4200 WARRENSVILLE CENTER RD, SUITE 430, BEACHWOOD, OH 44122-7051
(216) 491-7660
(216) 491-7662
Mailing address
PO BOX 391405, SOLON, OH 44139-8405
(216) 491-7660
(216) 491-7662

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35074605K
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992791263
NPI
05
2183515
OH
Enumeration date
09/22/2005
Last updated
06/22/2015
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