Individual
DR. KHUTB MOHAMMED UDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
239 N DIXIE WAY, SOUTH BEND, IN 46637-3309
(574) 243-0112
(574) 243-3881
Mailing address
239 N DIXIE WAY, SOUTH BEND, IN 46637-3309
(574) 243-0112
(574) 243-3881
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01037643A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100347010A
—
IN
Enumeration date
10/03/2006
Last updated
03/08/2024
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