Individual
DR. KHALIL I. SOBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
(317) 583-3099
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
(270) 691-8026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01081174A
IN
207R00000X
Internal Medicine Physician
242879
MA
207R00000X
Internal Medicine Physician
Primary
45940
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201182970
—
IN
05
—
7100242400
—
KY
Enumeration date
08/04/2010
Last updated
09/09/2025
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