Individual
DR. MICHAEL KHALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 BAY RD, APARTMENT 704, MIAMI BEACH, FL 33139-3399
(305) 401-4157
Mailing address
185 RYKOWSKI LN STE 101, MIDDLETOWN, NY 10941-4055
(845) 692-0030
(845) 692-0037
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10329200
NJ
2085R0202X
Diagnostic Radiology Physician
266708-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
49877
TN
2085R0202X
Diagnostic Radiology Physician
ME103684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03558050
—
NY
Enumeration date
02/22/2012
Last updated
05/03/2024
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