Individual
DR. IRINA S KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-7666
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01062679
IN
208M00000X
Hospitalist Physician
01062679A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200832460
—
IN
01
—
M400033493
MEDICARE PTIN
IN
Enumeration date
09/27/2005
Last updated
09/23/2025
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