# INDIANA CENTER FOR HEALTH AND NUTRITION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881875540
- **Authorized official:** DR. RASHID KHAIRI (OWNER)
- **Authorized official phone:** (317) 577-5590

## Contact information

- **Practice address:** 7440 N SHADELAND AVE, SUITE 206, INDIANAPOLIS, IN 46250-2029
- **Practice address phone:** (317) 577-5590
- **Mailing address:** 7440 N SHADELAND AVE, SUITE 206, INDIANAPOLIS, IN 46250-2029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 01025488A | IN | Yes |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 01/08/2008
