Individual
HASEEBA DOJKI-KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 944-8660
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01088260A
IN
207R00000X
Internal Medicine Physician
11019677A
IN
207RI0200X
Infectious Disease Physician
Primary
01088260A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010942
MEDICARE PTAN
IN
01
—
1103737936
ANTHEM PTAN
IN
01
—
264910438
MEDICARE PTAN
IN
05
—
300083319
—
IN
Enumeration date
07/31/2017
Last updated
03/11/2025
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