Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 35096817 | OH |
NPI | 1003000142 |
---|---|
Provider Name | Rashid Khalil |
First Address | Toledo, OH 43604-7101 |
Second Address | Toledo, OH 43623-3536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2007 |
Last Update Date | 03/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0051712 | (05) | OH |