Provider Demographics
NPI:1437941374
Name:AL KHOULY, MAI NIDAL MOH'D FAWZY (MD)
Entity type:Individual
Prefix:MRS
First Name:MAI
Middle Name:NIDAL MOH'D FAWZY
Last Name:AL KHOULY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MERCY ST. VINCENT MEDICAL CENTER
Mailing Address - Street 2:2213 CHERRY ST
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608
Mailing Address - Country:US
Mailing Address - Phone:419-251-1860
Mailing Address - Fax:419-251-7824
Practice Address - Street 1:2213 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43620
Practice Address - Country:US
Practice Address - Phone:419-251-2415
Practice Address - Fax:419-251-2422
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program