Provider Demographics
NPI:1366455719
Name:KHAWAND, NABIL Y (MD)
Entity Type:Individual
Prefix:DR
First Name:NABIL
Middle Name:Y
Last Name:KHAWAND
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 1:6228 OXON HILL RD
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3033
Mailing Address - Country:US
Mailing Address - Phone:301-839-0770
Mailing Address - Fax:301-839-1350
Practice Address - Street 1:6228 OXON HILL RD
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3033
Practice Address - Country:US
Practice Address - Phone:301-839-0770
Practice Address - Fax:301-839-1350
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042376208800000X
DC17105208800000X
MDD0036839208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6029361Medicaid
MD097021200Medicaid
DC0446420Medicaid
DC550209Medicare PIN
MD097021200Medicaid