Provider Demographics
NPI:1396549887
Name:KHADER, MAYA SPIRO SUBHI (MD)
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:SPIRO SUBHI
Last Name:KHADER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAYA KHADER,HASAN BAQER AL AZAZI ST. AMMAN, JORDAN
Mailing Address - Street 2:
Mailing Address - City:AMMAN
Mailing Address - State:AMMAN-SWEFIEH
Mailing Address - Zip Code:11183
Mailing Address - Country:JO
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-686-5162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program