NPI 1306057450

Christian G Khairallah, MD

Practitioner Ophthalmology Physician Grand Forks, ND

Practice location

Address: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201
Phone: (701) 732-7000
Mailing address: 2401 Demers Ave, Grand Forks, ND 58201

Registered specialties (3)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 13045 (ND)

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Registry record

NPI: 1306057450
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2007
Record last updated: 18 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.