Individual
DR. CHARLES M KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
22770 KELLY RD, #3, EASTPOINTE, MI 48021-2009
(586) 447-4900
(586) 447-0024
Mailing address
22770 KELLY RD, #3, EASTPOINTE, MI 48021-2009
(586) 447-4900
(586) 447-0024
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
CK001653
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061549240
TAX ID #
MI
01
—
4855050810
BLUE CROSS
MI
01
—
CK001653
LICENCE
MI
Enumeration date
03/05/2007
Last updated
10/10/2011
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