Individual
KHATIJA MOHAMMAD VAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4960 E STATE ST, ROCKFORD, IL 61108-2268
(815) 387-5309
(815) 387-5316
Mailing address
4960 E STATE ST, ROCKFORD, IL 61108-2268
(815) 387-5309
(815) 387-5316
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036127021
IL
Other
Enumeration date
07/16/2007
Last updated
07/13/2011
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