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Individual
DR. CHARLES M KHALIL
Active
Individual
DR. CHARLES M KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
CK001653
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061549240
TAX ID #
MI
01
—
4855050810
BLUE CROSS
MI
01
—
CK001653
LICENCE
MI
Enumeration date
03/05/2007
Last updated
10/10/2011
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