1619271848 NPI number — ZAID KHALIL, MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619271848 NPI number — ZAID KHALIL, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ZAID KHALIL, MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619271848
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
301 MAPLE AVE W STE 130
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIENNA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22180-4301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-255-9850
Provider Business Mailing Address Fax Number:
703-255-9856

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 MAPLE AVE W STE 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIENNA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22180-4301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-255-9850
Provider Business Practice Location Address Fax Number:
703-255-9856
Provider Enumeration Date:
01/03/2011

Additional Information

Authorized Official

Authorized Official Last Name:
KHALIL
Authorized Official First Name:
ZAID
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
703-255-9850

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  0101058347 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 256827 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10385320 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3110222 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0101876 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2191847 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5602688 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 70460001 . This is a "BLUE CROSS BLUE SHIELDS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7483004 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 885562 . This is a "ALLIANCE/MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10231548 . This is a "AMERIGROUP" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 285568 . This is a "OPTIMUM CHOICE/MDIPA" identifier . This identifiers is of the category "OTHER".




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