Provider Demographics
NPI:1619271848
Name:ZAID KHALIL, MD
Entity Type:Organization
Organization Name:ZAID KHALIL, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAID
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-255-9850
Mailing Address - Street 1:301 MAPLE AVE W STE 130
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4301
Mailing Address - Country:US
Mailing Address - Phone:703-255-9850
Mailing Address - Fax:703-255-9856
Practice Address - Street 1:301 MAPLE AVE W STE 130
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4301
Practice Address - Country:US
Practice Address - Phone:703-255-9850
Practice Address - Fax:703-255-9856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058347207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
256827OtherANTHEM
10385320OtherCAQH
3110222OtherCIGNA
0101876OtherUNITED HEALTHCARE
2191847OtherAETNA
VA5602688Medicaid
70460001OtherBLUE CROSS BLUE SHIELDS
7483004OtherAETNA
885562OtherALLIANCE/MAMSI
VA10231548OtherAMERIGROUP
285568OtherOPTIMUM CHOICE/MDIPA
G868282Medicare UPIN
VA490312Medicare PIN