Individual provider · Type 1 NPI

Mohammad Mushtaq Khandwala, BSC, MD

Family Medicine Physician · Rockford, IL

NPI number 1356962740 Active

Practice location

1221 E State St
Rockford, IL 61104-2231

Call (815) 972-1000 Map

Fax (815) 972-1086

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician 207QG0300X036172116 (IL)
Family Medicine Physician 207Q00000X75001 (MN)
Family Medicine Physician Primary 207Q00000X036172116 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1356962740

Mohammad Mushtaq Khandwala, BSC, MD's National Provider Identifier is 1356962740, issued on Apr 27, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Rockford, IL. The record was last updated on Oct 2, 2026.