Provider Demographics
NPI:1477507077
Name:KADHIM, THIKRA J (MD)
Entity Type:Individual
Prefix:DR
First Name:THIKRA
Middle Name:J
Last Name:KADHIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4520 E CENTRAL TEXAS EXPY
Mailing Address - Street 2:STE 101
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-5276
Mailing Address - Country:US
Mailing Address - Phone:254-634-6999
Mailing Address - Fax:254-200-4090
Practice Address - Street 1:4520 E CENTRAL TEXAS EXPY
Practice Address - Street 2:STE 101
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5276
Practice Address - Country:US
Practice Address - Phone:254-200-9355
Practice Address - Fax:254-200-2337
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2018-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM2665207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178347401Medicaid
TX7744772OtherAETNA
TX8U7480OtherBLUE CROSS BLUE SHIELD
TX178347402Medicaid
TX135182100OtherFIRST CARE
TX203857591OtherHUMANA/MILITARY-TRICARE