Individual
KHALIL G GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 955-1725
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D56754
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405325700
—
MD
Enumeration date
05/20/2006
Last updated
01/30/2014
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