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NPI Code Detail

MEDICARE: DOCTORS HEALTHCARE ON THE GO LLC

MEDICARE: DOCTORS HEALTHCARE ON THE GO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1467385104
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS HEALTHCARE ON THE GO LLC
Provider Business Mailing Address
First Line : 1220 INDIAN RUN DR APT 611
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-2104
Country : US
Telephone Number : 630-501-1924
Fax Number :
Provider Business Practice Location Address
First Line : 1220 INDIAN RUN DR APT 611
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-2104
Country : US
Telephone Number : 630-501-1924
Fax Number :
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : RAGHDAH SABBAR AL KHAZRAJI
Credential :
Telephone Number : 630-501-1924
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “DOCTORS HEALTHCARE ON THE GO LLC ” Practice Location

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