Individual
DR. AOUS S AL-KHALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 WATSON BLVD, WARNER ROBINS, GA 31093-3431
(478) 333-3603
(478) 333-3685
Mailing address
106 JADE SPRING CT., MOORESVILLE, NC 28117
(704) 987-1498
(304) 598-2293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01814
WV
2085R0202X
Diagnostic Radiology Physician
Primary
054057
GA
2085R0202X
Diagnostic Radiology Physician
4021903
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125445A
—
GA
05
—
003125445B
—
GA
01
—
1072273
WORKERS COMPENSATION
WV
05
—
3810010201
—
WV
01
—
52388731 002
BCBSGA
GA
01
—
52388731 003
BCBSGA
GA
01
—
P00466058
RAILROAD MEDICARE
NC
01
—
P01064760
RAILROAD MEDICARE
GA
Enumeration date
04/03/2006
Last updated
09/11/2012
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