Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 39317 | AL |
NPI | 1053726430 |
---|---|
Provider Name | Maya Khalil |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35249-6607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2014 |
Last Update Date | 28/07/2020 |