Individual
DR. AZRA KHAN SALAHUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2492
(317) 988-3159
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2492
(317) 988-3159
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
39866
IA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
39866
IA
Other
Enumeration date
05/11/2007
Last updated
11/03/2020
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