KHALIL M NASRALLAH


Address: N10561 Grandview Ln, Ironwood, MI 49938-9622
Phone: 9069322290

KHALIL M NASRALLAH (NPI# 1619923455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619923455
Entity Type Individual
Full Name KHALIL M NASRALLAH
Credential MD
Practice Address N10561 Grandview Ln
Ironwood
MI 49938-9622
Mailing Address 2837 Us 41 West
Marquette
MI 49855-0220
Practice Telephone 9069322290
Mailing Telephone 9062253964
Mailing Fax Number 9062263875
Enumeration Date 2006-05-25
Last Update Date 2008-03-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
4301079672 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI WISCONSIN MEDICAID 34726200 01
MI BLUE CROSS BLUE SHIELD MI 130E26028 01
MI 4877920 05

Office Location

Street Address N10561 GRANDVIEW LN
City IRONWOOD
State MI
Zip Code 49938-9622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588139190 Nicole Pietsch Physician Assistant N10561 Grandview Ln, Ironwood, MI 49938-9622 2018-10-10
1427543750 Brittany Sue Schneller Nurse Practitioner N10561 Grandview Ln, Ironwood, MI 49938-9622 2018-06-28
1699122861 Aspirus Ironwood Hospital & Clinics, Inc. Emergency Response System Companies N10561 Grandview Ln, Ironwood, MI 49938-9622 2016-05-18
1942663877 Nicole Jeanine Sederholm Nurse Practitioner N10561 Grandview Ln, Ironwood, MI 49938-9622 2016-03-29
1316341571 Kelsey Ladwig Nurse Anesthetist, Certified Registered N10561 Grandview Ln, Ironwood, MI 49938-9622 2014-10-17
1639582091 Aspirus Wausau Hospital, Inc. Internal Medicine N10561 Grandview Ln, Ironwood, MI 49938-9622 2014-06-03
1588925101 Heather Kirsten Nyman Nurse Practitioner N10561 Grandview Ln, Ironwood, MI 49938-9622 2012-05-30
1316218639 Carl Green Nurse Anesthetist, Certified Registered N10561 Grandview Ln, Ironwood, MI 49938-9622 2012-01-18
1316220981 Michelle N Ansley Nurse Practitioner N10561 Grandview Ln, Ironwood, MI 49938-9622 2011-09-21
1437437894 Carla Marie Loeffler Physical Therapist N10561 Grandview Ln, Physical Therapy/rehab Department, Ironwood, MI 49938-9622 2011-08-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891319661 Jonathon Rulseh Physical Therapy Assistant 10561 Grandview Ln, Ironwood, MI 49938 2020-06-08
1295107704 Susanna Lee Harris Counselor 220 Roosevelt St, Ironwood, MI 49938 2015-10-22
1609214600 Eve J. Komosa Physician Assistant N. 10561 Grand View Lane, Aspirus Grand View, Ironwood, MI 49938 2013-06-12
1255629861 Tatyana G Bombard Radiology Aspirus Ironwood Hospital, N10561 Grand View Lane, Ironwood, MI 49938 2011-07-17
1205140761 Allison Harr Advanced Practice Midwife N 10565 Grandview Lane, Ironwood, MI 49938 2010-07-27
1821267956 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 220 Rooselvelt Street, Ironwood, MI 49938 2008-02-22
1215106349 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 427 S. Stephenson Avenue, Suite 214, Iron Mountain, MI 49938 2008-02-22
1740466176 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 10305 Country Club Road, Ironwood, MI 49938 2008-01-16
1396811121 Rebecca Lynn Mika Occupational Therapist 1310 E Cloverland Dr, Ironwood, MI 49938 2006-11-24
1306940432 Marsha Miller Toohey Chiropractor 129 E Ayer St, Ironwood, MI 49938 2006-09-11
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134738545 Tank Consultation Pllc Psychiatry & Neurology 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 2020-07-31
1417578535 Angelique Maria Manasseh Psychiatry & Neurology 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 2020-04-29
1306473418 International Medical Clinic Pllc Psychiatry & Neurology 26100 American Dr Ste 200, Southfield, MI 48034-2367 2020-03-26
1720636657 Muhammad Irshad Khan Psychiatry & Neurology 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 2019-09-04
1992261481 Lucid Neurology PC Psychiatry & Neurology 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 2019-02-20
1417427352 Ascension St. Mary's Hospital Psychiatry & Neurology 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 2018-12-04
1205326873 Montana Neurology Pllc Psychiatry & Neurology 2040 Grand River Anx Ste 200, Brighton, MI 48114 2018-05-18
1508353145 Kalyan Yarraguntla Psychiatry & Neurology 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 2018-04-19
1225525389 Ahmad Ballout Psychiatry & Neurology 27358 Michele St, Dearborn Heights, MI 48127-1809 2018-04-15
1245734730 E.i. Neurology Associates, Pllc Psychiatry & Neurology 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 2018-03-20
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Competitor

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City IRONWOOD
Zip Code 49938

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Dataset Information

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.

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