MICHAEL KHALILI (NPI# 1376920546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376920546 |
| Entity Type | Individual |
| Full Name | MICHAEL KHALILI |
| Practice Address |
932 Grampian Blvd Williamsport PA 17701-1964 |
| Practice Telephone | 3109207727 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144593005 | Michael Khalili | Radiology | 1504 Bay Rd, Apartment 704, Miami Beach, FL 33139-3399 | 2012-02-22 |
| 1336289958 | Michael M Khalili | Internal Medicine | 1414 S Grand Ave, Suite 140, Los Angeles, CA 90015-3067 | 2007-02-07 |
| Street Address |
932 GRAMPIAN BLVD |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015596 | Jeniece Alison Cooper | Student in an Organized Health Care Education/Training Program | 700 High St Ste 4001, Williamsport, PA 17701-3100 | 2020-05-28 |
| 1710515168 | Meaghan Noble | Student in an Organized Health Care Education/Training Program | 204 Baker Hill Ln, Williamsport, MD 21795-2172 | 2020-03-31 |
| 1023664554 | Reshma Sherpa | Student in an Organized Health Care Education/Training Program | 1 College Ave # 123, Williamsport, PA 17701-5778 | 2019-08-12 |
| 1285280701 | Charles Kaczmarski | Student in an Organized Health Care Education/Training Program | 1 College Ave # Bfi123, Williamsport, PA 17701-5778 | 2019-08-12 |
| 1730735259 | Lawrence Louis Wolfgang | Student in an Organized Health Care Education/Training Program | 1 College Ave # Dif123, Williamsport, PA 17701-5778 | 2019-08-12 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1619129087 | Kevin Mccarthy | Student in an Organized Health Care Education/Training Program | 1031 Bonair Drive, Williamsport, PA 17701 | 2008-10-16 |
| 1346848520 | Kaitlyn Donnelly | Student in an Organized Health Care Education/Training Program | 816 Westminster Dr, Williamsport, PA 17701-3908 | 2020-10-11 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on MICHAEL KHALILI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.