=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457392615
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DR. KARIM KHALIL
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/09/2006
-----------------------------------------------------
Last Update Date | 06/05/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9173 ROUTE 30
-----------------------------------------------------
City | IRWIN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15642-3779
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-864-3550
-----------------------------------------------------
Fax | 724-864-5005
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 30 MARYLAND PL
-----------------------------------------------------
City | JEANNETTE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15644-2823
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-527-2798
-----------------------------------------------------
Fax | 724-864-5005
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 026463E
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------