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Muhammad Khudadad

Student in an Organized Health Care Education/Training Program in Lexington, KY. Individual provider (NPI-1).

NPI number1609784602
StatusActive
Last updated in NPPESAug 31, 2026

Details

NPI
1609784602
Entity type
Individual (NPI-1)
Name
Muhammad Khudadad
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2026
Certification date
Aug 31, 2026
Last updated
Aug 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

145 Virginia Ave Apt 202
Lexington, KY 40508-4016

Phone 502-440-4825

Mailing address

145 Virginia Ave Apt 202
Lexington, KY 40508-4016

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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