Provider Demographics
NPI:1205985314
Name:SAMI KHELLA MD PC
Entity type:Organization
Organization Name:SAMI KHELLA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:L
Authorized Official - Last Name:KHELLA
Authorized Official - Suffix:
Authorized Official - Credentials:034420E
Authorized Official - Phone:215-387-2052
Mailing Address - Street 1:51 N 39TH ST # MOB320
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2640
Mailing Address - Country:US
Mailing Address - Phone:215-387-2052
Mailing Address - Fax:215-222-1856
Practice Address - Street 1:51 N 39TH ST # MOB320
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19104-2640
Practice Address - Country:US
Practice Address - Phone:215-387-2052
Practice Address - Fax:215-222-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty