Individual
KHYATI VIJAY KADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 S HENNEPIN AVE, DIXON, IL 61021-3013
(815) 285-8908
(815) 285-8926
Mailing address
102 S HENNEPIN AVE, DIXON, IL 61021-3013
(815) 285-8908
(815) 285-8926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125068787
IL
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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