Individual
AL-AMIN A KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3771
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-068757
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-068757
OH
208VP0000X
Pain Medicine Physician
Primary
35068757K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221103
UNISON
OH
01
—
000000503705
ANTHEM
OH
01
—
000000516042
ANTHEM
OH
05
—
0208331
—
OH
01
—
0583328
BCMH
OH
05
—
1124041926
—
MI
01
—
363697
WELLCARE MEDICAID
OH
01
—
5271596
AETNA
OH
01
—
741624
BUCKEYE MEDICAID
OH
01
—
P00358800
MEDICARE RAILROAD
OH
Enumeration date
07/25/2006
Last updated
01/14/2021
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