Individual
KHALID ALSHAIBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE RM 4807, CHICAGO, IL 60657-5147
(773) 296-5347
Mailing address
13612 FLYING SQUIRREL DR, HERNDON, VA 20171-5004
(202) 705-4227
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/30/2021
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