Individual
SHAZA BEN KHADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
759 CHESTNUT STREET, D1170, SPRINGFIELD, MA 01107-1619
(413) 794-4550
(413) 794-3195
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-3909
(413) 794-1629
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1021492
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
LP04980
RI
Other
Enumeration date
05/25/2020
Last updated
11/20/2024
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