MEDICARE: DR. ANILA KHALID D.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	122300000X	Dentist	20921	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20921	OTHER	MA	CIGNA

General Provider Information

NPI Number	:	1831256700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANILA KHALID D.M.D.

Provider Business Mailing Address
First Line	:	387 QUARRY ST
Second Line	:	SUITE 100
City	:	FALL RIVER
State	:	MA
Zip	:	02723-1025
Country	:	US
Telephone Number	:	508-679-8111
Fax Number	:	508-837-6077

Provider Business Practice Location Address
First Line	:	387 QUARRY ST
Second Line	:	SUITE 100
City	:	FALL RIVER
State	:	MA
Zip	:	02723-1025
Country	:	US
Telephone Number	:	508-679-8111
Fax Number	:	508-837-6077

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	01/04/2013

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