Individual
KHAJA A NASARUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3701 DOTY RD, WOODSTOCK, IL 60098-7509
(815) 334-3170
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036089350
IL
Other
Enumeration date
08/10/2005
Last updated
09/03/2024
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