MARYAM KHALILI


Address: 3223 N Broad St Ofc 314, Philadelphia, PA 19140-5007
Phone: 7738079934

MARYAM KHALILI (NPI# 1578101630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578101630
Entity Type Individual
Full Name MARYAM KHALILI
Credential DDS
Practice Address 3223 N Broad St Ofc 314
Philadelphia
PA 19140-5007
Mailing Address 1180 Raymond Blvd Apt 11c
Newark
NJ 07102-4120
Practice Telephone 7738079934
Mailing Telephone 7738079934
Enumeration Date 2019-12-19
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 34590 TX Dental Providers
Y 122300000X Dentist 0401416303 VA Dental Providers
N 1223P0700X Dentist
Specialization: Prosthodontics
RFD000033 PA Dental Providers

Other Providers MARYAM KHALILI

NPI Name Taxonomy Address Enumeration
1629395926 Maryam Khalili Dietitian, Registered 1424 County Road 223, Durango, CO 81301-7287 2010-04-26
1841477932 Maryam Khalili Pharmacist 372 Jericho Tpke, Floral Park, NY 11001-2235 2008-01-30

Office Location

Street Address 3223 N BROAD ST OFC 314
City PHILADELPHIA
State PA
Zip Code 19140-5007

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
Find all providers in zip 19140

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351318 Mostafa Alwakeel Dentist 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 2020-09-16
1811508922 Eleine Laffita Aguilera Dentist 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 2020-08-12
1053921932 Priyanka Patel Dentist Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 2020-08-05
1578172128 Selena Nguyen Dentist 4837 N Broad St, Philadelphia, PA 19141-2107 2020-07-29
1447869235 Artistic Smile LLC Dentist 2801 Island Ave Ste 5, Philadelphia, PA 19153-2326 2020-07-28
1619585270 Dentist Near Me Pllc Dentist 1603 South St, Philadelphia, PA 19146-1541 2020-07-20
1073121281 Olga Stepanchenko Dentist 1919 Bowler St, Philadelphia, PA 19115-3211 2020-07-14
1952947152 Navy Yard Dental Associates, Pllc Dentist 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 2019-11-22
1518502632 Rujuta Shukla Dentist 4055 Ridge Ave Apt 8402, Philadelphia, PA 19129-1666 2019-11-12
1225687320 Deepika Ramachandran Dentist 1500 John F Kennedy Blvd Ste 300a, Philadelphia, PA 19102-1733 2019-09-10
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

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.

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