Provider Demographics
NPI:1285924142
Name:KHALAF, BASIL Z (MD)
Entity type:Individual
Prefix:
First Name:BASIL
Middle Name:Z
Last Name:KHALAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3262 WESTHEIMER RD # 705
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1002
Mailing Address - Country:US
Mailing Address - Phone:137-654-8484
Mailing Address - Fax:
Practice Address - Street 1:7505A SOUTH FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-5928
Practice Address - Country:US
Practice Address - Phone:713-585-5004
Practice Address - Fax:713-585-5004
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR8767207PE0005X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty