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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932330180

Khamidulla Bakhadirov, MDMS is a Neurology in Boston, Massachusetts. Qualified in 2003, 23 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
23
In the registry since
2009
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-1067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1932330180
Entity typeIndividual (Type 1)
GenderMale
Credentials MDMS
Sole proprietorYes
NPI enumeratedAugust 6, 2009
Last updated in NPPESFebruary 11, 2022
Mailing address15 Francis St, Apt 12, Brookline, MA 02446-6622

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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