Individual
AHMAD S KHATRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3492
(765) 983-7958
Mailing address
750 BROADWAY STE 150, FORT WAYNE, IN 46802-1412
(260) 423-2675
(260) 423-6621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01080752A
IN
207Q00000X
Family Medicine Physician
11018871A
IN
Other
Enumeration date
06/08/2016
Last updated
09/30/2024
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