Individual
MOHAMMAD KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-8676
(734) 712-3855
Mailing address
1892 WINDSWEPT CIR # 446, DOVER, DE 19901-5853
(302) 329-8666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301086250
MI
208M00000X
Hospitalist Physician
37797
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261469163
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/08/2007
Last updated
03/19/2022
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