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General NPI Number Information
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NPI Number | 1992791263
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Entity Type | Individual
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Provider Name | KAMAL KHALAFI M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 4200 WARRENSVILLE CENTER RD SUITE 430
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City | BEACHWOOD
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State | OH
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Zip | 44122-7051
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Country | US
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Telephone | 216-491-7660
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Fax | 216-491-7662
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Provider Business Mailing Address
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Address Line | PO BOX 391405
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City | SOLON
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State | OH
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Zip | 44139-8405
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Country | US
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Telephone | 216-491-7660
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Fax | 216-491-7662
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35074605K
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License Number State | OH
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