3920 ST FRANCIS WAY STE 220
LAFAYETTE, IN 47905 US PECOS Enrolled
Overview
Imad E. Khadra is a Pulmonologist in the LAFAYETTE area and has over 43 years of experience. Imad E. Khadra primary office location is at 3920 ST FRANCIS WAY STE 220 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1981
Imad E. Khadra is affiliated with four hospitals in the LAFAYETTE area, including FRANCISCAN HEALTH CRAWFORDSVILLE. The NPI number is 1205855418 and the information was updated approximately 3 years ago.
Imad E. Khadra is affiliated with one medical group in the LAFAYETTE area, FRANCISCAN PHYSICIAN NETWORK.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 01036728 | IN |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICARE PTAN | M400062471 | IN |
| MEDICAID | 100087520 | IN |
| Taxonomy | State | Primary? |
|---|---|---|
| Pulmonologist - Taxonomy Code 207RP1001X | IN | Y |
| Internal Medicine Physician (Critical Care Medicine) - Taxonomy Code 207RC0200X | IN | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20041102000293 |
| PECOS Individual PAC ID: | 1951363944 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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