Individual provider · Type 1 NPI

Khaled Mitwally, MD

Diagnostic Radiology Physician · Springfield, IL

NPI number 1821920539 Active

Practice location

751 N Rutledge St Rm 1100
Springfield, IL 62702-4968

Mailing address

PO Box 19636
Springfield, IL 62794-9636

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X125.088049 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1821920539

Khaled Mitwally, MD's National Provider Identifier is 1821920539, issued on May 29, 2026. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, IL. The record was last updated on Jun 8, 2026.