Individual
DR. FAUZI RAIF KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 MOUNT HERMON RD, STE 9A, SALISBURY, MD 21804
(410) 749-6833
(410) 749-5139
Mailing address
1325 MOUNT HERMON RD, STE 9A, SALISBURY, MD 21804
(410) 749-6833
(410) 749-5139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D38647
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4682F
BCBS
MD
05
—
547141900
—
MD
01
—
82634
MDIPA OPT
MD
Enumeration date
07/26/2006
Last updated
07/13/2010
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