Aida J Khalil, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301036063 Issued in MI

Practice address

17200 E 10 Mile Rd Ste 230
Eastpointe, MI 48021-3300

Phone

(586) 445-7900

Fax

(586) 445-7903

NPI assigned

Aug 28, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1144478520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD STE 230",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213300",
            "telephone_number": "586-445-7900",
            "fax_number": "586-445-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD STE 230",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213300",
            "telephone_number": "586-445-7900",
            "fax_number": "586-445-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "AIDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301036063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Dziuba MD PC
• Kevin T. Kensora, D.D.S.
• Marya Khairullah, MA, LLP
• Khalil Family Chiropractic PLLC
• Khalil Family Foot Care LLC
• Charles M Khalil, D.P.M.
• Keith Jude Khalil, D.C.
• Laura Marie Khalil, C.AD.
• Kid Fit Childcare
• Chang Soo Kim, MD

• General Practice Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.