AHMAD KHALIL MD NPI 1891216834

NPI Information

NPI: 1891216834
Provider Name: AHMAD KHALIL, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 267-9150
Get Directions

Ahmad Khalil, MD is a pediatric cardiology pediatrics in Grand Rapids, MI. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Ahmad Khalil, MD NPI is 1891216834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI
ZIP 49503-559
Phone: (616) 267-9150
Fax: (616) 267-1408

The NPI 1891216834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2017 and was last updated on 6/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		4301502625	MICHIGAN	No
2	208000000X	Pediatrics		MD.46474	ALABAMA	No
3	2080P0202X	Pediatrics	Pediatric Cardiology	4301502625	MICHIGAN	No
4	2080P0202X	Pediatrics	Pediatric Cardiology	MD.46474	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4301113336	OTHER	MICHIGAN	MEDICAL LICENSE
2	MD.46474	OTHER	ALABAMA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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