Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 235718 | MA |
N | 111NI0900X | Internist | 235718 | MA |
N | 207R00000X | Internist | 277170 | NY |
N | 111NI0900X | Internist | 277170 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | 277170 | NY |
NPI | 1518107507 |
---|---|
Provider Name | Dr. Laila Khalid |
First Address | Bronx, NY 10467-2410 |
Second Address | Bronx, NY 10467-2410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2009 |
Last Update Date | 22/03/2021 |