Individual provider · Type 1 NPI

Khaled Manasrah, RSA

Surgical Physician Assistant · Schaumburg, IL

NPI number 1114577038 Active

Practice location

904 Jeffery Ct
Schaumburg, IL 60193-1332

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X238.000648 (IL)
Surgical Assistant 246ZC0007X238.000648 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1114577038

Khaled Manasrah, RSA's National Provider Identifier is 1114577038, issued on Sep 12, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Schaumburg, IL. The record was last updated on Nov 9, 2021.