MEDICARE: NAJI KHOLAIF M.D.

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	MT194580	PA

General Provider Information

NPI Number	:	1043541204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAJI KHOLAIF M.D.

Provider Business Mailing Address
First Line	:	2200 BENJAMIN FRANKLIN PKWY
Second Line	:	APT N608
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-3601
Country	:	US
Telephone Number	:	267-909-5008
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 BENJAMIN FRANKLIN PKWY
Second Line	:	APT N608
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-3601
Country	:	US
Telephone Number	:	267-909-5008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2010
Last Update Date	:	01/27/2010

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