Kheirbek, Ali

Kheirbek, Ali is an individual health care provider with primary practice located at 90 W 86Th Ave , Merrillville IN 46410-7086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kheirbek, Ali can be contacted via phone (219) 791-1555.

Contact Information

Primary practice address
90 W 86Th Ave Merrillville IN 46410-7086
Fax: (219) 791-4077
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01030716A Indiana

Profile Details

NPI number 1174520415
LBN Legal business name Kheirbek, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 12th, 2022 - 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 1174520415 NPPES
Indiana MEDICAID 100166520D
Indiana Other 090001077
Indiana Other 000000332607
Indiana MEDICAID 100082060

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