Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 0401410715 | VA |
Y | 213EG0000X | General Practice | 0401410715 | VA |
N | 1223P0700X | Prosthodontist | 0401410715 | VA |
NPI | 1174742589 |
---|---|
Provider Name | Dr. Joseph A Khalil |
First Address | Arlington, VA 22201-2112 |
Second Address | Arlington, VA 22201-2112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 04/04/2014 |