Individual
DR. KHALIL AHMED KAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2168 MILLBURN AVE, SUITE 204, MAPLEWOOD, NJ 07040-2640
(973) 762-3353
(973) 762-3370
Mailing address
2168 MILLBURN AVE, STE 205, MAPLEWOOD, NJ 07040-2670
(973) 762-3353
(973) 762-3370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08008500
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08008500
NJ
207RI0011X
Interventional Cardiology Physician
25MA08008500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107310
—
NJ
01
—
91002856200
AMERICHOICE
NJ
Enumeration date
07/16/2006
Last updated
04/22/2024
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