Individual
IMRAN KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4300 W MAIN ST STE 21, DOTHAN, AL 36305-1058
(334) 699-7900
(334) 699-7901
Mailing address
PO BOX 6599, DOTHAN, AL 36302-6599
(334) 699-7900
(334) 699-7901
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
298324
NY
207RI0011X
Interventional Cardiology Physician
Primary
MD.43540
AL
208M00000X
Hospitalist Physician
52814
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43540
LICENSE
AL
Enumeration date
10/21/2011
Last updated
12/03/2024
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