Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 11 | WV |
NPI | 1265773105 |
---|---|
Provider Name | Dr. Khalid Abozguia |
First Address | Huntington, WV 25701-3663 |
Second Address | Huntington, WV 25701-3663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2013 |
Last Update Date | 21/12/2021 |