Provider Demographics
NPI:1669678462
Name:EL-KHALIL, ALI A (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:A
Last Name:EL-KHALIL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:5830 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2483
Mailing Address - Country:US
Mailing Address - Phone:305-926-0111
Mailing Address - Fax:305-926-0111
Practice Address - Street 1:24327 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1129
Practice Address - Country:US
Practice Address - Phone:313-730-9260
Practice Address - Fax:313-359-9172
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2015-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5901002172213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery