| Nidal A Khalili Md, Inc | |
|
7551 Timberlake Way Ste 240 Sacramento CA 95823-5422 | |
| (916) 681-9401 | |
| (916) 684-9401 |
| Full Name | Nidal A Khalili Md, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7551 Timberlake Way Ste 240, Sacramento, California |
| Authorized Official Name and Position | Charlene M Monson-picou (BILLING) |
| Authorized Official Contact | 9166819401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nidal A Khalili Md, Inc 7551 Timberlake Way Ste 240 Sacramento CA 95823-5422 Ph: (916) 681-9401 | Nidal A Khalili Md, Inc 7551 Timberlake Way Ste 240 Sacramento CA 95823-5422 Ph: (916) 681-9401 |
| NPI Number | 1710791306 |
|---|---|
| Provider Enumeration Date | 02/04/2025 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Medicare PECOS PAC ID | 7911239090 |
|---|---|
| Medicare Enrollment ID | O20191022001908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710791306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Nidal Ali Khalili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407818503 PECOS PAC ID: 6901867092 Enrollment ID: I20041021000987 |
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