Provider Demographics
NPI:1295478568
Name:KHALID, LAILA (MD)
Entity type:Individual
Prefix:MS
First Name:LAILA
Middle Name:
Last Name:KHALID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 HEMPSTEAD TPKE
Mailing Address - Street 2:NASSAU UNIVERSITY MEDICAL CTR, ACADEMIC AFFAIRS -BOX 29
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-5400
Mailing Address - Country:US
Mailing Address - Phone:516-572-5049
Mailing Address - Fax:516-572-5483
Practice Address - Street 1:2201 HEMPSTEAD TPKE NASSAU UNIVERSITY MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-5400
Practice Address - Country:US
Practice Address - Phone:516-572-5049
Practice Address - Fax:516-572-5483
Is Sole Proprietor?:No
Enumeration Date:2022-04-15
Last Update Date:2023-03-07
Deactivation Date:2023-01-12
Deactivation Code:
Reactivation Date:2023-03-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program