DR. AMAL ALI KHALIL (NPI# 1023372257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023372257 |
| Entity Type | Individual |
| Full Name | DR. AMAL ALI KHALIL |
| Other Name | DR. AMAL RAYCHOUNI |
| Credential | D.O. |
| Practice Address |
9340 Telegraph Rd Taylor MI 48180-3362 |
| Practice Telephone | 3132953388 |
| Practice Fax Number | 3132954198 |
| Mailing Telephone | 3132953388 |
| Mailing Fax Number | 3132954198 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2016-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101020128 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
9340 TELEGRAPH RD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175284 | Juliet Alfonso Santos | Nurse Practitioner | 9340 Telegraph Rd, Taylor, MI 48180-3362 | 2005-06-27 |
| 1598048464 | Michelle C Dolson | Nurse Practitioner | 9340 Telegraph Rd, Taylor, MI 48180-3362 | 2011-09-27 |
| 1265468623 | Millennium Medical Group South PC | Nurse Practitioner | 9340 Telegraph Rd, Taylor, MI 48180-3362 | 2006-06-25 |
| 1144299140 | Daniel A Slaim | Family Medicine | 9340 Telegraph Rd, Taylor, MI 48180-3362 | 2006-03-14 |
| 1508837626 | John Slaim | Family Medicine | 9340 Telegraph Rd, Taylor, MI 48180-3362 | 2006-01-27 |
| 1295705531 | Abraham Slaim | Family Medicine | 9340 Telegraph Rd, Taylor, MI 48180-3362 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730368184 | Enhanced Skin Care Center | Family Medicine | 24825 Eureka Rd, Taylor, MI 48180-5159 | 2007-11-01 |
| 1992741607 | Vimla Garg | Family Medicine | 8400 Pelham Rd, Taylor, MI 48180-3834 | 2006-06-21 |
| 1760444228 | Ellen K Athens | Family Medicine | 15100 S Plaza Dr, Taylor, MI 48180-5203 | 2006-04-03 |
| 1376502906 | Dinna Orina Cohen | Family Medicine | 403 Mallard Ln, Taylor, TX 76574-1210 | 2006-03-22 |
| 1952396731 | Thomas F. Pullen Jr. | Family Medicine | 601a Mallard Ln, Taylor, TX 76574-1214 | 2005-09-16 |
| 1417952003 | Rodolfo Gabriel Gutierrez-macias | Family Medicine | 305 Mallard Ln, Taylor, TX 76574-1208 | 2005-06-20 |
| 1891307443 | Park Place Family Practice & Internal Medicine | Family Medicine | 12701 Telegraph Rd Ste 103, Taylor, MI 48180-4087 | 2020-08-17 |
| 1285164830 | Ghada D Mustapha | Family Medicine | 15100 S Plaza Dr, Taylor, MI 48180-5203 | 2017-06-15 |
| 1285169425 | Juan Carlos Razo | Family Medicine | 403 Mallard Ln, Taylor, TX 76574-1210 | 2017-04-25 |
| 1770902918 | Merin Sabu | Family Medicine | 601a Mallard Ln, Taylor, TX 76574-1214 | 2014-04-15 |
| Find all providers in TAYLOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.