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

Khaled Mitwally, MD

Individual provider Diagnostic Radiology Physician · NPI 1821920539

Khaled Mitwally, MD is a Diagnostic Radiology Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
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

751 N Rutledge St Rm 1100
Springfield, IL 62702-4968
Phone: (217) 545-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 125.088049 (IL)

Record details

NPI number1821920539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing addressPo Box 19636, Springfield, IL 62794-9636

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