Provider Demographics
NPI:1144184706
Name:KHALIQDINA HEALTHWORKS
Entity type:Organization
Organization Name:KHALIQDINA HEALTHWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEHRYAR
Authorized Official - Middle Name:JEHANGIR
Authorized Official - Last Name:KHALIQDINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-678-8162
Mailing Address - Street 1:2508 SANDERS CT
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-1100
Mailing Address - Country:US
Mailing Address - Phone:312-678-8162
Mailing Address - Fax:
Practice Address - Street 1:2508 SANDERS CT
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-1100
Practice Address - Country:US
Practice Address - Phone:312-678-8162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-09
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty