Individual
NADEEM IKHLAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5550
(812) 376-5930
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01067972A
IN
207RH0003X
Hematology & Oncology Physician
22311
WV
207RX0202X
Medical Oncology Physician
22311
WV
208VP0000X
Pain Medicine Physician
22311
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2667412
—
OH
05
—
3810005631
—
WV
01
—
P00373379
RAILROAD MEDICARE
WV
Enumeration date
05/22/2006
Last updated
08/18/2025
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