Azedean Abdel-Khaliq

Individual provider Active NPI Case Manager/Care Coordinator · Toledo, OH

NPI 1184492142 · NPPES record last updated Dec 19, 2023

Key facts

NPI
1184492142
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1425 Starr Ave
Toledo, OH 43605-2456
Phone
(419) 936-7600
Fax
(419) 936-7606
NPI assigned
Dec 19, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1425 Starr Ave
Toledo, OH 43605-2456

Mailing address

1425 Starr Ave
Toledo, OH 43605-2456
Phone (419) 936-7600

Other providers in Toledo, OH

All providers in Toledo, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.