Khalil Family Foot Care LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

5901001653 Issued in MI

Legal business name

KHALIL FAMILY FOOT CARE LLC

Practice address

22770 Kelly Rd
Suite 3
Eastpointe, MI 48021-2009

Phone

(586) 447-4900

NPI assigned

Jun 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles Khalil, D.P.M.NPI 1821127564

Title

Owner

Phone

(586) 447-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Charles M Khalil, D.P.M.

  • Podiatrist
  • Eastpointe, MI
  • NPI 1821127564
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1831539758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22770 KELLY RD",
            "address_2": "SUITE 3",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212009",
            "telephone_number": "586-447-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22770 KELLY RD",
            "address_2": "SUITE 3",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212009",
            "telephone_number": "586-447-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALIL FAMILY FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-447-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeneca Kennedy
• Kenneth Dziuba MD PC
• Kevin T. Kensora, D.D.S.
• Marya Khairullah, MA, LLP
• Khalil Family Chiropractic PLLC
• Aida J Khalil, M.D.
• Charles M Khalil, D.P.M.
• Keith Jude Khalil, D.C.
• Laura Marie Khalil, C.AD.
• Kid Fit Childcare

• Primary Podiatric Medicine Podiatrist in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Primary Podiatric Medicine Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.