MOHAMMAD A. AL KHUDARI MD – NPI #1720151624
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

MOHAMMAD AL KHUDARI is a physician located in NEW LENOX, IL. NPPES has assigned the NPI number 1720151624 to MOHAMMAD AL KHUDARI on November 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 14 years ago on May 01, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOHAMMAD AL KHUDARI below.

NPI Profile for
MOHAMMAD A. AL KHUDARI

NPI Number
1720151624
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MOHAMMAD A. AL KHUDARI
Credentials
MD
Primary location
1890 SILVER CROSS BLVD
SUITE 330
NEW LENOX, IL 60451-9508
Phone: (815) 717-6082 Fax: (815) 717-8693
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MOHAMMAD AL KHUDARI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036051013
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
IL 3651013

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.