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

Kamoliddin Khodjaev

Individual provider Certified Registered Nurse Anesthetist · NPI 1255944732

Kamoliddin Khodjaev is a Certified Registered Nurse Anesthetist (CRNA) in Allentown, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Southwestern Eye Center Ltd, a 117-clinician group and accepts Medicare assignment. Licensed in Arizona and Pennsylvania.

Years since qualifying
6
Licensed in
AZ, PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone: (610) 402-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 267930 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN730555 (PA)

Record details

NPI number1255944732
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESJanuary 31, 2024
Certification dateJuly 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southwestern Eye Center Ltd — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Allentown