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NPI Code Detail

MEDICARE: BARZIN KHALILI MD

MEDICARE:   BARZIN  KHALILI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology PhysicianMD24359OR

General Provider Information

NPI Number : 1487725990
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARZIN KHALILI MD
Provider Business Mailing Address
First Line : 511 SW 10TH AVE STE 1301
Second Line :
City : PORTLAND
State : OR
Zip : 97205-2714
Country : US
Telephone Number : 503-228-0155
Fax Number : 503-226-8342
Provider Business Practice Location Address
First Line : 511 SW 10TH AVE STE 1301
Second Line :
City : PORTLAND
State : OR
Zip : 97205-2714
Country : US
Telephone Number : 503-228-0155
Fax Number : 503-226-8342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 03/19/2008

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