Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUHAIL H KHADRA, MD
Active Sole ProprietorSUHAIL H KHADRA, MD is a Single Specialty Group healthcare provider located in MUNSTER, Indiana. NPI 1487603239 is currently active in the NPPES registry. Verify at CMS.
Single Specialty Group · MUNSTER, IN
Registration Details
- NPI Number
- 1487603239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2006 (20.274340935969 yrs)
- Last Updated
- Nov 13, 2015
- Licenses
-
036066290 (IL)036066290 (IL)01075981A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10010 DONALD POWERS DRMUNSTER, IN, 46321Browse IN providers · Browse ZIP 46321
- Phone
- 2199344210
- Fax
- 2199344288
- Primary Specialty
-
Single Specialty Group
193400000X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Single Specialty Group
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.