Provider Demographics
NPI:1841466638
Name:KHALIL, AMER K (MD)
Entity type:Individual
Prefix:DR
First Name:AMER
Middle Name:K
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 1:3395 MICHELSON DR APT 4406
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-3419
Mailing Address - Country:US
Mailing Address - Phone:949-988-9800
Mailing Address - Fax:949-988-7801
Practice Address - Street 1:3501 JAMBOREE RD
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2939
Practice Address - Country:US
Practice Address - Phone:949-988-9800
Practice Address - Fax:949-988-7801
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA139554207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery