Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shaadi Khademi, MD

Individual provider Occupational Medicine Physician · NPI 1639437098

Dr. Shaadi Khademi, MD is an Occupational Medicine Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11937 US Highway 271
Tyler, TX 75708-3154
Phone: (903) 877-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence R3121 (TX)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence BP10053903 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639437098
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2012
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 731912, Dallas, TX 75373-1912

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