Individual
WASEEM KHALIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-5018
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-121255
IL
207Q00000X
Family Medicine Physician
36784
IA
207R00000X
Internal Medicine Physician
D70854
MD
208M00000X
Hospitalist Physician
Primary
D0070854
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121255-3
—
IL
05
—
036121255-5
—
IL
05
—
036239500
—
MD
01
—
1023033982
BCBS
IL
01
—
3932056
BLUE SHIELD
IL
Enumeration date
07/21/2006
Last updated
04/26/2025
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