Provider Demographics
NPI:1164276028
Name:KHALIL, MUSA (MD)
Entity Type:Individual
Prefix:
First Name:MUSA
Middle Name:
Last Name:KHALIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVENUE, NW, HOWARD UNIVERSITY HOSPITAL
Mailing Address - Street 2:NORTHWEST SUITE 2039
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060
Mailing Address - Country:US
Mailing Address - Phone:202-865-7151
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVENUE, NW, HOWARD UNIVERSITY HOSPITAL
Practice Address - Street 2:NORTHWEST SUITE 2039
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060
Practice Address - Country:US
Practice Address - Phone:202-865-7151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program