Khadra, Abdul M
Khadra, Abdul M is an sole proprietor health care provider with primary practice located at 954 Westfield St , West Springfield MA 01089-3809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Khadra, Abdul M can be contacted via phone (413) 733-2127.Contact Information
Primary practice address
954 Westfield St
West Springfield MA 01089-3809
Phone: (413) 733-2127
Fax: (413) 733-2128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37593 | Massachusetts |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 37593 | Massachusetts |
Profile Details
| NPI number | 1194778159 |
|---|---|
| LBN Legal business name | Khadra, Abdul M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Aug 12th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194778159 | NPPES |
| Massachusetts | Other | 037593 | TUFTS |
| Massachusetts | Other | 13575 | TUFTS |
| Massachusetts | MEDICAID | 3002233 | TUFTS |
| Massachusetts | Other | H22028 | TUFTS |
| Massachusetts | Other | 798624 | TUFTS |
| Massachusetts | Other | 037593 | TUFTS |
| Massachusetts | Other | 100064 | TUFTS |
| Massachusetts | Other | 566945 | TUFTS |
| Massachusetts | Other | 4411111942 | TUFTS |
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