Individual
SUJOY KHASNAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
(317) 583-3099
Mailing address
811 W 2ND ST, BLOOMINGTON, IN 47403-2212
(812) 333-4033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01097445A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
02/13/2026
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