Provider Demographics
NPI:1912622580
Name:MUNIR, KHALID (MB BCH BAO)
Entity Type:Individual
Prefix:MR
First Name:KHALID
Middle Name:
Last Name:MUNIR
Suffix:
Gender:M
Credentials:MB BCH BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 MILLBROOK AVENUE
Mailing Address - Street 2:DONAGHMEDE
Mailing Address - City:DUBLIN
Mailing Address - State:IRELAND
Mailing Address - Zip Code:D13 XT72
Mailing Address - Country:IE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-355-6460
Practice Address - Fax:617-730-0337
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program