Individual
GHULAM MOHAMMED KHALEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 FRANKIE LN, WHITE HALL, AR 71605-3027
(870) 247-6160
(870) 247-6167
Mailing address
105 FRANKIE LN, WHITE HALL, AR 71602-2685
(870) 247-6160
(870) 247-6167
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
E4456
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5N367
BLUE CROSS
AR
Enumeration date
07/29/2006
Last updated
02/21/2022
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