Provider Demographics
NPI:1871526426
Name:KHALIFEH, MARWAN RIAD (MD)
Entity type:Individual
Prefix:DR
First Name:MARWAN
Middle Name:RIAD
Last Name:KHALIFEH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8180 GREENSBORO DR
Mailing Address - Street 2:STE 1015
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3860
Mailing Address - Country:US
Mailing Address - Phone:301-244-0148
Mailing Address - Fax:301-244-0148
Practice Address - Street 1:7601 LEWINSVILLE RD
Practice Address - Street 2:STE 300
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-2835
Practice Address - Country:US
Practice Address - Phone:301-244-0148
Practice Address - Fax:443-964-5954
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2020-03-04
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Provider Licenses
StateLicense IDTaxonomies
MDD586472082S0099X, 2082S0105X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand