Active NPIIndividual providerSole proprietor

Dr. Abdul M Khadra, MD

Internal Medicine in West Springfield, Massachusetts

NPI Number1194778159
Practice location
954 Westfield St, West Springfield, MA 01089-3809
Fax
413-733-2128
Last updated
August 12, 2008

Abdul M Khadra is an Internal Medicine based in West Springfield, MA. Abdul M Khadra practices in West Springfield, MA and has the professional credentials of MD. The NPI Number for Abdul M Khadra is 1194778159 and holds a License No. 37593 (MA). The current practice location address for Abdul M Khadra is 954 Westfield St, West Springfield, MA 01089-3809 and can be reached out via phone at 413-733-2127 and via fax at 413-733-2128.

Provider Profile Details

NPI Number
1194778159
Provider Name
Abdul M Khadra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
954 Westfield St, West Springfield, MA 01089-3809
Phone Number
413-733-2127
Fax Number
413-733-2128
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 18, 2006
Last Update Date
August 12, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
954 Westfield St
West Springfield, MA 01089-3809
Zip
01089-3809
Phone Number
413-733-2127
Fax Number
413-733-2128
West Springfield, MA 01089Get directions →

Provider Business Mailing Address Details

Address
954 Westfield St
West Springfield, MA 01089-3809
City
West Springfield
State
MA
Zip
01089-3809

License Information

License Number (1)
37593
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
37593
License State (2)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Abdul M Khadra, MD?

The NPI number of Dr. Abdul M Khadra, MD is 1194778159. It was assigned on May 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Abdul M Khadra, MD?

Dr. Abdul M Khadra, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 37593.

Where does Dr. Abdul M Khadra, MD practice?

The practice location is 954 Westfield St, West Springfield, MA 01089-3809. The office can be reached at 413-733-2127 (phone) or 413-733-2128 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194778159 directly on the NPPES registry website.

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