Individual
IBRAHIM KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 N INDIAN CANYON DR, DESERT REGIONAL MEDICAL CENTER/ SURGERY/ANESTHESIA, PALM SPRINGS, CA 92262-4872
(760) 323-6618
(760) 323-6617
Mailing address
2635 G ST, DESERT REGIONAL MEDICAL CENTER/ ANESTHESIA, BAKERSFIELD, CA 93301-2813
(760) 323-6618
(760) 323-6617
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A77675
CA
207L00000X
Anesthesiology Physician
ME84884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17018
BCBS
FL
05
—
264470300
—
FL
Enumeration date
11/08/2006
Last updated
04/12/2016
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