Individual
KHALED M KEBAISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3376
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101224126
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461891
CARE FIRST OF DC
—
05
—
6409385
—
VA
Enumeration date
04/17/2006
Last updated
08/25/2022
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