Provider Demographics
NPI:1912923236
Name:BADWAN, KHALID H (MD)
Entity type:Individual
Prefix:DR
First Name:KHALID
Middle Name:H
Last Name:BADWAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11845 SOUTHWEST HWY UNIT 12
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1599
Mailing Address - Country:US
Mailing Address - Phone:708-923-5422
Mailing Address - Fax:708-923-5458
Practice Address - Street 1:11845 SOUTHWEST HWY UNIT 12
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1599
Practice Address - Country:US
Practice Address - Phone:708-923-5422
Practice Address - Fax:708-923-5458
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2025-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036118052208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology