Individual
MAJD NEHAD KHADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N 1ST ST STE D417, SPRINGFIELD, IL 62781-2153
(217) 545-7473
Mailing address
2353 PORTLAND ST APT 30, LOS ANGELES, CA 90007-1925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036175339
IL
207RG0100X
Gastroenterology Physician
Primary
036175339
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
06/24/2025
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