| Doctor Name: | DR. CHAZA KHALIL |
| NPI Number: | 1982974739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 265909 |
| Business Practice Address: | 234 E 149th St Bronx, NY - 104515504 |
| Business Phone Number: | 7185795580 |
| Business Fax Number: | 7185796532 |
| Mailing Address: | 2183 Edwin Ave, Unit #1 FORT LEE |
| State: | NJ |
| Postal Code: | 070243435 |
| Phone Number: | 2015851177 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2012 |
| NPI Last Update Date: | 06/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261Q00000X |
| License Number: | 265909 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |