Individual
DR. SHADI IHSAN KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 WASHINGTON ST, WINCHESTER, MA 01890-1328
(781) 756-5050
Mailing address
3830 RUTHERFORD CT, WINSTON SALEM, NC 27106-2649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL41097
SC
207RH0003X
Hematology & Oncology Physician
Primary
1013974
MA
207RH0003X
Hematology & Oncology Physician
RTL20-0027
NC
Other
Enumeration date
05/29/2017
Last updated
06/01/2023
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