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NPI Code Detail

MEDICARE: DR. SEPIDEH KHALILIAN M.D.

MEDICARE: DR. SEPIDEH KHALILIAN 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
1207V00000XObstetrics & Gynecology Physician4301092042MI
2207V00000XObstetrics & Gynecology Physician0101268049VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437313665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEPIDEH KHALILIAN M.D.
Provider Business Mailing Address
First Line : PO BOX 37174
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3174
Country : US
Telephone Number : 571-423-5699
Fax Number : 571-423-5698
Provider Business Practice Location Address
First Line : 3600 S GLEBE RD STE 110
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-2379
Country : US
Telephone Number : 571-665-6490
Fax Number : 571-665-6491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 08/11/2022

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