Individual
MR. ALI RAFIQ KHADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST RM S2A19, BALTIMORE, MD 21201-1544
(410) 328-3477
(410) 328-0641
Mailing address
32 2ND AVE APT 117, BURLINGTON, MA 01803-4435
(929) 289-0959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0101727
MD
390200000X
Student in an Organized Health Care Education/Training Program
283247
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/31/2019
Last updated
05/09/2025
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