Individual
MARYAM KHALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS-PROSTHODONTIST
Contact information
Practice address
3223 N BROAD ST OFC 314, PHILADELPHIA, PA 19140-5007
(773) 807-9934
Mailing address
545 N BROAD ST, PHILADELPHIA, PA 19123-3592
(215) 874-7611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416303
VA
122300000X
Dentist
34590
TX
1223P0700X
Prosthodontics
Primary
DS045634
PA
1223P0700X
Prosthodontics
Primary
RFD000033
PA
Other
Enumeration date
12/19/2019
Last updated
05/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up