Individual
DR. HESHAM KHALIFA KHALFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-9856
(765) 349-6442
Mailing address
2209 JOHN R WOODEN DR, PHYSICIAN HEALTH CENTER SOUTH, MARTINSVILLE, IN 46151-1840
(765) 349-9856
(765) 349-6442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01060055
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000551058
BCBS PIN
IN
05
—
200513930
—
IN
Enumeration date
01/19/2006
Last updated
08/19/2021
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