Provider Demographics
NPI:1629001797
Name:KHALIL, ZAID (MD)
Entity Type:Individual
Prefix:
First Name:ZAID
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 1:301 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:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058347207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10231548OtherAMERIGROUP
VA284703OtherAMERIGROUP
976953OtherCOVENTRY
VA10297OtherUNICARE MC/FAMSI
DC70460001OtherCAREFIRST BLUE CROSS BLUE SHIELD
10385320OtherCAQH
VA1933735OtherUNITED HEALTHCARE GLOBAL INTERNATIONAL
VA2191847OtherAETNA
VA7483004OtherAETNA GLOBAL
VA7483004OtherAETNA NON HMO
0101876OtherUNITED HEALTHCARE
VA2191847OtherAETNA HMO
3110222OtherCIGNA
VA885562OtherALLIANCE/MAMSI
256827OtherANTHEM
VA56-02688Medicaid
70460001OtherBLUE CROSS BLUE SHIELDS