Refat Daherdiab Khader M.D.

NPI 1073505988 - Anesthesiology - 207L00000X

NPI Details
NPI 1073505988
Gender Male
Enumeration Date 08/17/2005
Last Updated 05/09/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
405 W JACKSON ST
CARBONDALE IL, 62901-1462, US
Phone (618) 549-0721
Fax
Business Location
35 ALBANY RD
SUITE C
CARBONDALE IL, 62903-7605, US
Phone (618) 457-5111
Fax (618) 457-6560
Toxanomy
Taxonomy Code 207L00000X
License State Illinois
License Number 036099655
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According to our database, Dr. Refat Daherdiab Khader M.D. NPI is 1073505988, taxonomy code is 207L00000X and license number is 036099655, license state is located at Illinois. Refat Daherdiab Khader M.D. physically located at 405 W Jackson St, Carbondale IL, 62901-1462. NPI Number Refat Daherdiab Khader M.D. has the Individual type.

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1073505988 NPI number is provided on an as is basis without warranty of any kind. 1073505988 is maintained by the National Plan & Provider Enumeration System. The contents of Refat Daherdiab Khader M.D. are for informational purposes only.