NPIMap

Organization Active NPI

Khaled a Khalafallah, PC

  • Psychiatry Physician
  • Olney, MD
National Provider Identifier
1306863170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0053451 Issued in MD
Legal business name
KHALED A KHALAFALLAH, PC
Practice address
18101 Prince Philip Dr
Olney, MD 20832-1514
Phone
(301) 774-8860
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Khaled Abdelghany Khalafallah, M.D.
Title
Physician
Phone
(301) 758-7785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D0053451 MD Primary

Addresses

Primary practice location

18101 Prince Philip Dr
Olney, MD 20832-1514

Mailing address

7910 Andrus Rd
Suite 16
Alexandria, VA 22306-3171

National Provider Directory

National Provider Directory

Locations

7910 Andrus Rd
Ste 16
Alexandria, VA 22306
Phone (703) 780-0378

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306863170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 ANDRUS RD",
            "address_2": "SUITE 16",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 PRINCE PHILIP DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321514",
            "telephone_number": "301-774-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALED A KHALAFALLAH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALAFALLAH",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "ABDELGHANY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-758-7785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0053451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.