FAZL KHADEMI
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1740992577
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1740992577 is the National Provider Identifier for FAZL KHADEMI, a Student in an Organized Health Care Education/Training Program provider located in Peoria, IL. This NPI was enumerated on December 23, 2022.
FAZL KHADEMI practices at 530 NE GLEN OAK AVE, Peoria, IL 61637.
Quick Facts
- NPI
- 1740992577
- Type
- Individual
- Enumerated
- Dec 23, 2022
- Last Updated
- Mar 30, 2023
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