Tarek Mohamed Aly Khalil, PA-C
Physician Assistant in Fort Stewart, GA. Individual provider (NPI-1).
NPI number1407175367
StatusActive
Last updated in NPPESMay 9, 2023
Details
- NPI
- 1407175367
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tarek Mohamed Aly Khalil
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2010
- Certification date
- May 9, 2023
- Last updated
- May 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11518 | GA | Yes |
Practice location
1061 Harmon AveFort Stewart, GA 31314-5641
Phone 912-435-6633
Mailing address
1061 Harmon AveFort Stewart, GA 31314-5641
Phone 912-435-6633
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All 90 Physician Assistant providers in Fort Stewart · All 1,299 providers in Fort Stewart
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