Provider Demographics
NPI:1902897606
Name:ZIRVI, KHALID M (MD)
Entity type:Individual
Prefix:DR
First Name:KHALID
Middle Name:M
Last Name:ZIRVI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7350 VAN DUSEN RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5263
Mailing Address - Country:US
Mailing Address - Phone:301-560-4747
Mailing Address - Fax:301-776-1725
Practice Address - Street 1:11110 MEDICAL CAMPUS RD
Practice Address - Street 2:# 223
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6700
Practice Address - Country:US
Practice Address - Phone:301-560-4747
Practice Address - Fax:301-776-1725
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
MDD0062515207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD243GMedicare ID - Type Unspecified
MDI35332Medicare UPIN