| Doctor Name: | DR. AIDA J KHALIL |
| NPI Number: | 1144478520 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 4301036063 |
| Business Practice Address: | 17200 E 10 Mile Rd Ste 230 Eastpointe, MI - 480213300 |
| Business Phone Number: | 5864457900 |
| Business Fax Number: | 5864457903 |
| Mailing Address: | 17200 E 10 Mile Rd Ste 230, EASTPOINTE |
| State: | MI |
| Postal Code: | 480213300 |
| Phone Number: | 5864457900 |
| Fax Number: | 5864457903 |
| NPI Enumeration Date: | 08/28/2008 |
| NPI Last Update Date: | 05/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301036063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |