Khalil, Mohamed Aly

Khalil, Mohamed Aly is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Khalil, Mohamed Aly can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 76234 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q6951 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036153243 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 76234 Wisconsin

Profile Details

NPI number 1205270964
LBN Legal business name Khalil, Mohamed Aly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2013
Last updated Jun 29th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205270964 NPPES
Wisconsin MEDICAID 100184723

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