Individual
MR. HAMID R KHAIRGHADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 UPPERCHESAPEAKE DR, BELAIR, MD 21014
(410) 420-7630
Mailing address
2060 PHILLIPS MILL RD, FOREST HILL, MD 21050-2119
(410) 420-7630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R137569
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435101100
—
MD
Enumeration date
06/23/2006
Last updated
08/18/2010
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