Provider Demographics
NPI:1093516197
Name:KHALIL, MARIAN WAGIEH WILLIAM (MW)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:WAGIEH WILLIAM
Last Name:KHALIL
Suffix:
Gender:
Credentials:MW
Other - Prefix:
Other - First Name:MARIAN
Other - Middle Name:
Other - Last Name:SHAFIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17577 WHITNEY RD APT 422
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-2436
Mailing Address - Country:US
Mailing Address - Phone:440-381-0209
Mailing Address - Fax:
Practice Address - Street 1:17577 WHITNEY RD APT 422
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-2436
Practice Address - Country:US
Practice Address - Phone:440-381-0209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program