Hammoud, Khaled

Hammoud, Khaled is an individual health care provider with primary practice located at 975 Mezzanine Dr Ste C , Lafayette IN 47905-8635. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Hammoud, Khaled can be contacted via phone (765) 446-5220.

Contact Information

Primary practice address
975 Mezzanine Dr Ste C Lafayette IN 47905-8635
Phone: (765) 446-5220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 01067405A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01067405A Indiana

Profile Details

NPI number 1982806402
LBN Legal business name Hammoud, Khaled
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated May 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982806402 NPPES
Indiana Other 000000668722 ANTHEM
Indiana MEDICAID 200978960 ANTHEM

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