Issam Khayata MD

NPI 1174576581 - Anesthesiology - 207L00000X

NPI Details
NPI 1174576581
Gender Male
Enumeration Date 05/18/2006
Last Updated 11/02/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
55 LAKE AVE N
DEPARTMENT OF ANESTHESIOLOGY
WORCESTER MA, 01655-0002, US
Phone (508) 334-3271
Fax (508) 856-5911
Business Location
PO BOX 415348
BOSTON MA, 02241-5348, US
Phone
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Massachusetts
License Number 212629
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According to our database, Issam Khayata MD NPI is 1174576581, taxonomy code is 207L00000X and license number is 212629, license state is located at Massachusetts. Issam Khayata MD physically located at 55 Lake Ave N, Worcester MA, 01655-0002. NPI Number Issam Khayata MD has the Individual type.

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1174576581 NPI number is provided on an as is basis without warranty of any kind. 1174576581 is maintained by the National Plan & Provider Enumeration System. The contents of Issam Khayata MD are for informational purposes only.