MEDICARE: KHALED L AMR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	35087312	OH
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	35087312	OH
3	207LP3000X	Pediatric Anesthesiology Physician	35087312	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477533859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHALED L AMR MD

Provider Business Mailing Address
First Line	:	6096 E MAIN ST STE 103
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4302
Country	:	US
Telephone Number	:	614-751-1500
Fax Number	:	614-751-1501

Provider Business Practice Location Address
First Line	:	6096 E MAIN ST STE 103
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4302
Country	:	US
Telephone Number	:	614-715-1500
Fax Number	:	614-751-1501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	05/16/2013

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Directions to “ KHALED L AMR MD” Practice Location

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