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NPI Code Detail

MEDICARE: WAGDY A KHALIL

MEDICARE:   WAGDY A KHALIL
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
12084P0800XPsychiatry Physician60427-20WI

General Provider Information

NPI Number : 1043507031
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAGDY A KHALIL
Provider Business Mailing Address
First Line : 817 WHITING AVE
Second Line :
City : STEVENS POINT
State : WI
Zip : 54481-5246
Country : US
Telephone Number : 715-345-5350
Fax Number : 715-345-5966
Provider Business Practice Location Address
First Line : 5401 QUARRY PARK RD
Second Line :
City : MADISON
State : WI
Zip : 53718-7901
Country : US
Telephone Number : 844-767-3769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 08/26/2025

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Directions to “ WAGDY A KHALIL ” Practice Location

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