Provider Demographics
NPI:1184038598
Name:KHALIL, MUHAMMAD ASIM (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:ASIM
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 1:3555 STAGG DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4509
Mailing Address - Country:US
Mailing Address - Phone:409-212-5922
Mailing Address - Fax:409-212-5190
Practice Address - Street 1:3555 STAGG DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4509
Practice Address - Country:US
Practice Address - Phone:409-212-5922
Practice Address - Fax:409-212-5190
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA307294207R00000X
MI4301105523207R00000X
ARE-11755208M00000X, 207R00000X
TXU4838207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist