Individual provider · NPI-1

Khaled Adil, MD

· Albany, NY

NPI number1669944237
StatusActive
Last updated in NPPESDec 2, 2021

Details

NPI
1669944237
Entity type
Individual (NPI-1)
Name
Khaled Adil
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 20, 2018
Certification date
Dec 2, 2021
Last updated
Dec 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X 4301505747MIYes
2085R0001X 293471NY

Practice location

43 New Scotland Ave
Albany, NY 12208-3412

Phone 518-262-3368

Mailing address

49 Sheridan Ave Apt 203
Albany, NY 12210-2705

Phone 514-803-6553

Other practice locations

2800 W Grand Blvd
Detroit, MI 48202-2610

Phone 800-653-6568 · Fax 313-876-1305

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