Individual
JAHAN ALI KHAJEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 582-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01096404A
IN
208M00000X
Hospitalist Physician
Primary
1013648666
IN
Other
Enumeration date
06/23/2022
Last updated
08/15/2025
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