Individual
ZAHANGIR KHALED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 N 8TH ST, SUITE PAV 4A, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-8840
Mailing address
PO BOX 19658, SPRINGFIELD, IL 62794-9658
(217) 545-8000
(217) 545-8840
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
036105305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105305
—
IL
01
—
07215036
BCBS
IL
01
—
IL01BN
JOHN DEERE
IL
Enumeration date
02/21/2006
Last updated
12/10/2014
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