Individual
DR. ABDUL M KHADRA
Active
Individual
DR. ABDUL M KHADRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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