NPI age
3 years
Enumerated 2022-05-23
● Active
Type 1 · Individual
Muad Khallad, MD
Khallad is 1 of 70 student in an organized health care education/training program providers in Idaho Falls and 1 of 516 in Idaho.
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 516 active student in an organized health care education/training program providers in Idaho.
NPI age
3 years
↑ 2 yr above median (1 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-05Enumerated in NPPES
2022
2026
Where they practice
Practice location
3100 Channing Way
Idaho Falls, ID 834047533
Mailing address
3100 Channing Way
Idaho Falls, ID 834047533
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 834046371
Specialties
-
Student in an Organized Health Care Education/Training Program PrimaryAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
-
Psychiatry & NeurologyA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | MRM-2190 | IDAHO BOARD OF MEDICINE |
Practice context
Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.
Recently enumerated nearby: 15 new student in an organized health care education/training program providers have been added in Idaho Falls in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.