Individual
HANAN IBRAHIM KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11551
RI
2085R0202X
Diagnostic Radiology Physician
261910
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD11551
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003124245
CT MED ASSISTANCE
—
01
—
0221464
CIGNA
—
01
—
1988
NHPRI
—
05
—
2091186
—
MA
01
—
411937
BLUE CHIP
—
01
—
9003727
RI MEDICAL ASSISTANCE
—
01
—
9360456
PHHCS
—
01
—
AA22417
RIH PILGRIM
—
01
—
P00163389
RAILROAD MEDICARE
—
Enumeration date
12/23/2005
Last updated
11/11/2022
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