Individual
SHUMAILA KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 HIGHLAND OAKS DR, WINSTON SALEM, NC 27103-7105
(336) 765-5250
(336) 659-0953
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-00603
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/16/2021
Last updated
12/16/2024
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