Provider Demographics
NPI:1285685982
Name:HUSSEIN, KHADER KHALID (MD)
Entity Type:Individual
Prefix:DR
First Name:KHADER
Middle Name:KHALID
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-631-0919
Mailing Address - Fax:405-636-0518
Practice Address - Street 1:4301 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3411
Practice Address - Country:US
Practice Address - Phone:405-631-0919
Practice Address - Fax:405-636-0518
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK10342207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology