Individual
DR. MICHAEL T. KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13880 BRADDOCK RD, SUITE 107, CENTREVILLE, VA 20121-2459
(703) 266-0788
(703) 815-1789
Mailing address
11131 FLORA LEE DR, FAIRFAX STATION, VA 22039-1029
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
653
VA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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