person
Gregg Ilan Khodorov, MD,MBA
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1518586536

Gregg Ilan Khodorov is a Student in an Organized Health Care Education/Training Program based in New Brunswick, PA. Gregg Ilan Khodorov practices in Philadelphia, PA and has the professional credentials of MD,MBA. The NPI Number for Gregg Ilan Khodorov is 1518586536 and holds a License No. (Pennsylvania).

The current practice location address for Gregg Ilan Khodorov is 1015 Walnut St Ste 620, Philadelphia, PA and can be reached out via phone at 215-955-6864 and via fax at 215-955-2878.

Location: 1015 Walnut St Ste 620, Philadelphia, PA, 08901-2142
person
Provider Profile Details
NPI Number
1518586536
Provider Name
Gregg Ilan Khodorov
Credential
MD,MBA
Provider Entity Type
Individual
Gender
Male
Address
1015 Walnut St Ste 620, Philadelphia, PA, 08901-2142
Phone Number
215-955-6864
Fax Number
215-955-2878
Provider Enumeration Date
04/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1015 Walnut St Ste 620
City
State
Zip
19107-5005
Phone Number
215-955-6864
Fax Number
215-955-2878
person
Provider Business Mailing Address Details
Address
1015 Walnut St Ste 620
City
State
Zip
19107-5005
Phone Number
215-955-6864
Fax Number
215-955-2878
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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