Khatib, Sirajabid
Khatib, Sirajabid is an individual health care provider with primary practice located at 441 N Wabash Ave , Marion IN 46952-2612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Khatib, Sirajabid can be contacted via phone (765) 662-4236.Contact Information
Primary practice address
441 N Wabash Ave
Marion IN 46952-2612
Phone: (765) 662-4236
Fax: (765) 662-4903
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01050026A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01050026A | Indiana |
Profile Details
NPI number | 1396737524 |
---|---|
LBN Legal business name | Khatib, Sirajabid |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2005 |
Last updated | Dec 26th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396737524 | NPPES |
Indiana | MEDICAID | 200375870 | |
Indiana | Other | 000001150856 |
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