Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35078646 | OH |
N | 207QA0401X | Family Doctor - Addiction Medicine | 35078646 | OH |
NPI | 1750386173 |
---|---|
Provider Name | Khalida Durrani |
First Address | Toledo, OH 43623 |
Second Address | Toledo, OH 43613-3288 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 29/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2218442 | (05) | OH |
H31651 | (02) | OH |