Mahmoud Al Khalili
Internal Medicine in Brighton, MA. Individual provider (NPI-1).
NPI number1497593586
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1497593586
- Entity type
- Individual (NPI-1)
- Name
- Mahmoud Al Khalili
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2024
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 3016382 | MA | Yes |
Practice location
736 Cambridge StBrighton, MA 02135-2907
Phone 617-789-3000
Mailing address
139 Washington St Apt 505Brighton, MA 02135-4363
Phone 617-987-1298
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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