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General NPI Number Information
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NPI Number | 1356345193
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Entity Type | Individual
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Provider Name | KOROUSH KHALIGHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 122 WYOMING STREET
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City | DAYTON
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State | OH
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Zip | 45409-2731
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Country | US
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Telephone | 937-223-4461
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 783311
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City | PHILADELPHIA
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State | PA
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Zip | 19178-3311
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Country | US
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Telephone | 484-884-4500
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Fax | 484-884-0699
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA056515
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD066096-L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 25MA068440
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 102020
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | MD041360-L
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 25MA056515
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | MD041360-L
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License Number State | PA
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