Mouchantaf, Khalil
Mouchantaf, Khalil is an individual health care provider with primary practice located at 81 Highland Ave , Salem MA 01970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mouchantaf, Khalil can be contacted via phone (978) 825-7170.Contact Information
Primary practice address
81 Highland Ave
Salem MA 01970
Phone: (978) 825-7170
Fax: (978) 825-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 217132 | Massachusetts |
Profile Details
| NPI number | 1609826700 |
|---|---|
| LBN Legal business name | Mouchantaf, Khalil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1609826700 | NPPES |
| Massachusetts | MEDICAID | 2008378 |
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