Physician Compare National (NPI:1821127564)

HEALTHCARE PROVIDER: CHARLES M KHALIL D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821127564
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698915767
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130712000706
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHALIL
	Individual professional last name
Provider First Name	CHARLES
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	22770 KELLY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	EASTPOINTE
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	480212009
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y