Reheem-Farag, Khaled A
Reheem-Farag, Khaled A is an sole proprietor health care provider with primary practice located at 7330 Indianapolis Blvd , Hammond IN 46324-2941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reheem-Farag, Khaled A can be contacted via phone (219) 844-1444.Contact Information
Primary practice address
7330 Indianapolis Blvd
Hammond IN 46324-2941
Phone: (219) 844-1444
Fax: (219) 844-1448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01059379A | Indiana |
Profile Details
| NPI number | 1811931108 |
|---|---|
| LBN Legal business name | Reheem-Farag, Khaled A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Oct 31st, 2011 - about 13 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 | 1811931108 | NPPES |
| Indiana | MEDICAID | 200495810 |
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