person
Khamidulla Bakhadirov, MDMS
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1932330180

Khamidulla Bakhadirov is a Student in an Organized Health Care Education/Training Program based in Brookline, MA. Khamidulla Bakhadirov practices in Boston, MA and has the professional credentials of MDMS. The NPI Number for Khamidulla Bakhadirov is 1932330180 and holds a License No. (Massachusetts).

The current practice location address for Khamidulla Bakhadirov is 55 Fruit St, Boston, MA and can be reached out via phone at 617-726-1067.

Location: 55 Fruit St, Boston, MA, 02446-6622
person
Provider Profile Details
NPI Number
1932330180
Provider Name
Khamidulla Bakhadirov
Credential
MDMS
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA, 02446-6622
Phone Number
617-726-1067
Fax Number
Provider Enumeration Date
08/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131740114 01 NY MONTEFIORE MEDICAL CENTER
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-1067
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-1067
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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