Individual
DR. EJAZ KHALID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
759 CHEST NUT STREET, DEPARTMENT OF INTERNAL MEDICINE ATTN LINDA BAILLARGEON, SPRINGFIELD, MA 01199
(413) 794-4373
Mailing address
75 HOCKANUM BLVD, UNIT 3512, VERNON, CT 06066
(312) 307-0027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
237718
MA
208M00000X
Hospitalist Physician
10385750-1205
UT
Other
Enumeration date
07/08/2008
Last updated
09/14/2017
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