Mahmoud I Khalil, | |
755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | |
(914) 302-0100 | |
(914) 302-0060 |
Full Name | Mahmoud I Khalil |
---|---|
Gender | Male |
Speciality | Urology |
Location | 755 N Broadway Ste 510, Sleepy Hollow, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588210124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | E-12037 (Arkansas) | Secondary |
208800000X | Urology | 309598 (New York) | Primary |
Entity Name | University Of Arkansas For Medical Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
Mailing Address | Practice Location Address |
---|---|
Mahmoud I Khalil, 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 Ph: (914) 302-0100 | Mahmoud I Khalil, 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 Ph: (914) 302-0100 |
Ehab Abdalla Eltahawy, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 755 N Broadway Ste 510, Sleepy Hollow, NY 10591 Phone: 914-302-0100 Fax: 914-302-0060 | |
Mr. Guy Girgory Verhovsky, M.D Urology Medicare: Medicare Enrolled Practice Location: 755 N Broadway Suite 510, Sleepy Hollow, NY 10591 Phone: 914-302-0100 | |
Dr. Wayne L Debeatham, M.D. Urology Medicare: Medicare Enrolled Practice Location: 701 N Broadway, Sleepy Hollow, NY 10591 Phone: 914-366-3000 |