Individual
TANIA KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
600 MARY STREET, EVANSVILLE, IN 47747-0001
(812) 450-7338
(812) 450-2193
Mailing address
7988 BAYSHORE CT, NEWBURGH, IN 47630-8367
(812) 962-0858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01011641A
IN
208M00000X
Hospitalist Physician
Primary
01061641A
IN
208M00000X
Hospitalist Physician
13339
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391348
BCBS - DEACONESS GATEWAY
IN
01
—
000000391354
BCBS - DEACONESS MARY ST
IN
05
—
1326019043
—
NV
05
—
200815550
—
IN
05
—
64114895
—
KY
01
—
P00318221
RR MCARE
IN
Enumeration date
01/30/2006
Last updated
01/25/2013
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