Individual ProviderShumaila KhalilInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address770 Highland Oaks Dr, Winston Salem, NC 27103-7105(336) 765-5250(336) 716-1331PECOS EnrollmentBased on the most recent information from CMS, provider Shumaila Khalil is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013589175Provider TypeIndividualFull NameKhalil, ShumailaGenderFemaleSole ProprietorYesEnumeration Date7/16/2021Last Updated12/16/2024Contact InformationPractice LocationPractice Address770 Highland Oaks Dr, Winston Salem, NC 27103-7105Phone(336) 765-5250Fax(336) 659-0953Mailing LocationMailing Address100 Kimel Forest Dr, Winston Salem, NC 27103-6074Phone(336) 716-1331FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense2024-00603North CarolinaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer