Active NPI
Kamal Khalaf M.D.
- Diagnostic Radiology Physician
- Punxsutawney, PA
National Provider Identifier
1134474000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD038962L
- Legal business name
- KAMAL KHALAF M.D.
- Practice address
- 81 Hillcrest Dr
Punxsutawney, PA 15767-2605 - Phone
- (814) 938-1836
- NPI assigned
- Jul 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kamal Khalaf, M.D.
- Title
- Owner
- Phone
- (814) 938-8051
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD038962L | PA | Primary |
Addresses
Primary practice location
81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Mailing address
122 Aspen Rd
Punxsutawney, PA 15767-2658
Phone (814) 938-8051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009500390003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Punxsutawney, PA
- NPI 1568468031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1134474000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 ASPEN RD",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672658",
"telephone_number": "814-938-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HILLCREST DR",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672605",
"telephone_number": "814-938-1836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAMAL KHALAF M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "KHALAF",
"authorized_official_first_name": "KAMAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-938-8051",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD038962L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009500390003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Punxsutawney, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.