Provider Demographics
NPI:1053487363
Name:KHALIL, RAHAB (MD)
Entity Type:Individual
Prefix:DR
First Name:RAHAB
Middle Name:
Last Name:KHALIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 PALMER AVE
Mailing Address - Street 2:BUILDING 7
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733
Mailing Address - Country:US
Mailing Address - Phone:732-796-9400
Mailing Address - Fax:732-796-9414
Practice Address - Street 1:2080 ROUTE 35
Practice Address - Street 2:SUITE 1
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733
Practice Address - Country:US
Practice Address - Phone:732-796-9400
Practice Address - Fax:732-796-9414
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07881000207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I33067Medicare UPIN
092234V42Medicare PIN