Individual
MAGDY W KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1373 E STATE ROAD 62, MADISON, IN 47250-7328
(812) 801-0156
(812) 801-0276
Mailing address
PO BOX 189, MADISON, IN 47250-0189
(812) 801-0156
(812) 801-0276
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28716
KY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
28716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044626
ANTHEM
KY
05
—
100320160A
—
IN
05
—
1051969
—
KY
05
—
64287162
—
KY
Enumeration date
05/12/2006
Last updated
03/01/2013
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