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General NPI Number Information
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NPI Number | 1023501780
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Entity Type | Individual
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Provider Name | AHMED KHALIL MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 7901 LAKE MANASSAS DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-3257
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Country | US
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Telephone | 703-753-4045
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Fax | 703-753-8037
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Provider Business Mailing Address
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Address Line | PO BOX 748613
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City | ATLANTA
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State | GA
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Zip | 30374-8613
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD483711
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 0101286164
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License Number State | VA
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