Khadra, Imad E.

Khadra, Imad E. is an individual health care provider with primary practice located at 6500 Stacey Hollow Way , Lafayette IN 47905-7500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Khadra, Imad E. can be contacted via phone (765) 807-5055.

Contact Information

Primary practice address
6500 Stacey Hollow Way Lafayette IN 47905-7500
Phone: (765) 807-5055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01036728 Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01036728 Indiana

Profile Details

NPI number 1205855418
LBN Legal business name Khadra, Imad E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Sep 30th, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205855418 NPPES
Indiana Other M400062471 MEDICARE PTAN
Indiana MEDICAID 100087520 MEDICARE PTAN

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