Provider Demographics
NPI:1275195786
Name:KHALID, ADEEL (XMT, MA)
Entity Type:Individual
Prefix:
First Name:ADEEL
Middle Name:
Last Name:KHALID
Suffix:
Gender:M
Credentials:XMT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17172 LARKIN DR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2748
Mailing Address - Country:US
Mailing Address - Phone:703-722-8686
Mailing Address - Fax:
Practice Address - Street 1:17172 LARKIN DR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2748
Practice Address - Country:US
Practice Address - Phone:703-722-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver