MEDICARE: KHALIF OSMAN

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
1	163W00000X	Registered Nurse	RN.326059-	OH

General Provider Information

NPI Number	:	1497958300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHALIF OSMAN

Provider Business Mailing Address
First Line	:	3358 THORNAPPLE CIR S APT B
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6144
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3358 THORNAPPLE CIR S APT B
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6144
Country	:	US
Telephone Number	:	646-713-9285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	07/08/2007

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Directions to “ KHALIF OSMAN ” Practice Location

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