Individual
DR. ABDUL M KHADRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
954 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-3809
(413) 733-2127
(413) 733-2128
Mailing address
954 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-3809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37593
MA
207RI0011X
Interventional Cardiology Physician
37593
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037593
TUFTS
MA
01
—
100064
CIGNA
MA
01
—
13575
HEALTH NEW ENGLAND
MA
05
—
3002233
—
MA
01
—
4411111942
RAILROAD MEDICARE
MA
01
—
566945
US HEALTHCARE
MA
01
—
798624
CONNECTICARE
MA
01
—
H22028
BCBS
MA
Enumeration date
05/18/2006
Last updated
08/12/2008
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