Individual
DR. MUSHKBAR JALIL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17160 DRAGONFLY DR, NOBLESVILLE, IN 46060-3632
(317) 678-2600
(317) 678-2610
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01066850A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200955410
—
IN
Enumeration date
07/07/2008
Last updated
07/01/2022
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