Individual
SUMA KHARIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1664 W SMITH VALLEY RD, GREENWOOD, IN 46142-1550
(317) 887-7640
(317) 887-7664
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01066007A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01066007A
LICENSE
IN
01
—
M40053845
MEDICARE RR
IN
01
—
P01157051
RR MEDICARE PTAN
IN
Enumeration date
02/25/2008
Last updated
11/27/2023
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