Khairkar, Samuel Shimon

Khairkar, Samuel Shimon is an individual health care provider with primary practice located at 1141 S Indiana Ave , Crown Point IN 46307-7205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khairkar, Samuel Shimon can be contacted via phone (219) 662-0700.

Contact Information

Primary practice address
1141 S Indiana Ave Crown Point IN 46307-7205
Phone: (219) 662-0700
Fax: (219) 662-0973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.057740 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-137624 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01074088A Indiana

Profile Details

NPI number 1932482312
LBN Legal business name Khairkar, Samuel Shimon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated Oct 9th, 2023 - about 2 years ago

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 1932482312 NPPES
Indiana MEDICAID 300017808

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