Individual
QASIM KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 W. THIRD STREET, VA MEDICAL CENTER ATTN: MEDICAL SERVICES, DAYTON, OH 45428
(937) 262-2110
Mailing address
4100 W. THIRD STREET, VA MEDICAL CENTER ATTN: MEDICAL SERVICES, DAYTON, OH 45428
(937) 262-2110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35089567
OH
207R00000X
Internal Medicine Physician
57008579
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2732912
—
OH
Enumeration date
03/30/2007
Last updated
04/30/2013
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