GHULAM MOHAMMED KHALEEL (NPI# 1669486007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669486007 |
| Entity Type | Individual |
| Full Name | GHULAM MOHAMMED KHALEEL |
| Credential | MD |
| Practice Address |
105 Frankie Ln White Hall AR 71605-3027 |
| Practice Telephone | 8702476160 |
| Practice Fax Number | 8702476167 |
| Mailing Telephone | 8702476160 |
| Mailing Fax Number | 8702476167 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2013-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
E4456 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS | 5N367 | 01 |
| Street Address |
105 FRANKIE LN |
| City | WHITE HALL |
| State | AR |
| Zip Code | 71605-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124032560 | Neurology Clinic of South Arkansas,pa | Neurological Surgery | 105 Frankie Ln, White Hall, AR 71605-3027 | 2006-07-29 |
| 1659663250 | Theresa Ann Lybrand | Nurse Practitioner | 105 Frankie Ln, White Hall, AR 71602-2685 | 2011-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007791 | Makesha Monique Jefferson | Physical Therapy Assistant | 7500 Dollarway Rd Ste 203, White Hall, AR 71602-3085 | 2020-09-08 |
| 1447869771 | Ngoc Anh Luu Le | Physical Therapy Assistant | 141 Chipmunk Dr, White Hall, AR 71602-4789 | 2020-07-22 |
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1982221065 | Arcare | Clinic/Center | 7300 Dollarway Rd Ste 116, White Hall, AR 71602-3023 | 2020-07-06 |
| 1861037046 | Sabrina Marie Bailey | Interpreter | 778 E White Hall Rd, White Hall, IL 62092-4094 | 2019-11-12 |
| 1790349462 | Nicole Gray | Nurse Practitioner | 3103 Holiday Dr, White Hall, AR 71602-9559 | 2019-04-27 |
| 1568925246 | Karla Young | Nurse Practitioner | 7245 Sheridan Rd, White Hall, AR 71602-3214 | 2019-04-10 |
| 1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
| 1649740739 | Daily Dose Drugstore, Inc. | Pharmacy | 103 Timber Ln, White Hall, AR 71602-3331 | 2018-11-30 |
| 1982174611 | Sherry Ann Simone | Speech-Language Pathologist | 5302 Norrisville Rd, White Hall, MD 21161-8995 | 2018-11-26 |
| Find all providers in WHITE HALL | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336243443 | Ralph Scott Mcgill | Psychiatry & Neurology | 5520 W Marcham, Little Rock, AR 72205 | 2006-09-11 |
| 1548363021 | Molly Lim | Psychiatry & Neurology | 5520 W Markham, Little Rock, AR 72205 | 2006-09-07 |
| 1104097500 | Washington Regional Medical System | Psychiatry & Neurology | 3336 N Futrall Dr, Fayetteville, AR 72703-4057 | 2008-03-13 |
| 1316037898 | Bashir Shihabuddin | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| 1164525549 | Diane Lynn Cruseturner | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-09-07 |
| 1124084124 | Victor Biton | Psychiatry & Neurology | 2 Lile Ct, Ste 100, Little Rock, AR 72205 | 2006-04-26 |
| City | WHITE HALL |
| Zip Code | 71605 |
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| 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.