MEDICARE: ABDEL KHALEK MD LTD

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	207R00000X	Internal Medicine Physician	6899	NV

General Provider Information

NPI Number	:	1952644213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABDEL KHALEK MD LTD

Provider Business Mailing Address
First Line	:	9410 DEL WEBB BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8314
Country	:	US
Telephone Number	:	702-649-4297
Fax Number	:	702-642-3308

Provider Business Practice Location Address
First Line	:	9410 DEL WEBB BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8314
Country	:	US
Telephone Number	:	702-649-4297
Fax Number	:	702-642-3308

Authorized Official
Title or Position	:	OWNER
Name	:	ABDEL M KHALEK
Credential	:	MD
Telephone Number	:	702-649-4297

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	04/04/2013

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