Individual
IMAD M KHREIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 284-5285
Mailing address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 283-7651
(413) 284-5117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
80368
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300040
—
MA
01
—
983547
NETWORK HEALTH
—
Enumeration date
07/15/2006
Last updated
02/11/2010
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