Khalid, Khaula
Khalid, Khaula is an sole proprietor health care provider with primary practice located at 946 Bloomfield Ave , Glen Ridge NJ 07028-1308. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Khalid, Khaula can be contacted via phone (973) 743-1121.Contact Information
Primary practice address
946 Bloomfield Ave
Glen Ridge NJ 07028-1308
Phone: (973) 743-1121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB08277700 | New Jersey |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MB08277700 | New Jersey |
Profile Details
| NPI number | 1164698445 |
|---|---|
| LBN Legal business name | Khalid, Khaula |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2008 |
| Last updated | Apr 5th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164698445 | NPPES |
| New Jersey | Other | P00650715 | RAILROAD MEDICARE |
| New Jersey | MEDICAID | 0167428 | RAILROAD MEDICARE |
| New Jersey | Other | 47928 | RAILROAD MEDICARE |
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