Khodorov, Gregg Ilan
Khodorov, Gregg Ilan is an individual health care provider with primary practice located at 136 Route 73 Ste A , Voorhees NJ 08043-9598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Khodorov, Gregg Ilan can be contacted via phone (877) 388-2778.Contact Information
Primary practice address
136 Route 73 Ste A
Voorhees NJ 08043-9598
Phone: (877) 388-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 25MA13037300 | New Jersey |
Profile Details
| NPI number | 1518586536 |
|---|---|
| LBN Legal business name | Khodorov, Gregg Ilan |
| Credentials | MD, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2020 |
| Last updated | Jul 17th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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