Individual
KHALED HASSAN ABDELJAWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071686A
IN
207R00000X
Internal Medicine Physician
11015298A
IN
207RG0100X
Gastroenterology Physician
Primary
01071686A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004929
—
IN
Enumeration date
07/16/2010
Last updated
03/05/2025
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