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NPI Code Detail

MEDICARE: HAMID R KHATIBI MD

MEDICARE: HAMID R KHATIBI 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
1208M00000XHospitalist Physician35.134165OH

General Provider Information

NPI Number : 1306325931
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAMID R KHATIBI MD
Provider Business Mailing Address
First Line : 730 W. MARKET ST.
Second Line :
City : LIMA
State : OH
Zip : 45801-4667
Country : US
Telephone Number : 419-226-4310
Fax Number : 419-226-4315
Provider Business Practice Location Address
First Line : 730 W. MARKET ST.
Second Line :
City : LIMA
State : OH
Zip : 45801-4667
Country : US
Telephone Number : 419-226-4310
Fax Number : 419-226-4315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 02/19/2019

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Directions to “ HAMID R KHATIBI MD” Practice Location

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