Dr. Eric William Khairalla
Plastic and Reconstructive Surgery
5530 Wisconsin Ave Suite 1235
Chevy Chase
, Maryland 20815-4404
Dr. Eric William Khairalla
Plastic and Reconstructive Surgery
5530 Wisconsin Ave Suite 1235
Chevy Chase
, Maryland 20815-4404
(703) 438-3033
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Eric William Khairalla
- 9248 Wood Glade Dr
- Great Falls, VA
- Zip : 22066-2209
- Phone : (703) 438-3033
Second Address
- Dr. Eric William Khairalla
- 5530 Wisconsin Ave Suite 1235
- Chevy Chase, MD
- Zip : 20815-4404
- Fax : (301) 654-9727
- Phone : (301) 657-4744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | D39451 | MD |
National Provider Identifier
| NPI | 1295755916 |
|---|---|
| Provider Name | Dr. Eric William Khairalla |
| First Address | Great Falls, VA 22066-2209 |
| Second Address | Chevy Chase, MD 20815-4404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E77263 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.