Provider Demographics
NPI:1093718777
Name:AWAD, KHALIL ELIAS (DC)
Entity Type:Individual
Prefix:DR
First Name:KHALIL
Middle Name:ELIAS
Last Name:AWAD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 PARKWAY E
Mailing Address - Street 2:STE A
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35206-1559
Mailing Address - Country:US
Mailing Address - Phone:205-836-8312
Mailing Address - Fax:205-836-4395
Practice Address - Street 1:9002 PARKWAY E
Practice Address - Street 2:STE A
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35206-1559
Practice Address - Country:US
Practice Address - Phone:205-836-8312
Practice Address - Fax:205-836-4395
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1169111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician