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?:No
Enumeration Date:2006-07-09
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058347207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10297OtherUNICARE MC/FAMSI
10385320OtherCAQH
VA56-02688Medicaid
70460001OtherCAREFIRST
VA1933735OtherUNITED HEALTHCARE GLOBAL INTERNATIONAL
256827OtherANTHEM
DC70460001OtherCAREFIRST BLUE CROSS BLUE SHIELD
VA10231548OtherAMERIGROUP
VA284703OtherAMERIGROUP
VA7483004OtherAETNA GLOBAL
0101876OtherUNITED HEALTHCARE
70460001OtherBLUE CROSS BLUE SHIELDS
VA7483004OtherAETNA NON HMO
976953OtherCOVENTRY
VA2191847OtherAETNA HMO
VA2191847OtherAETNA
3110222OtherCIGNA
VA885562OtherALLIANCE/MAMSI