Organization
INTERNATIONAL FAMILY MEDICINE AND WALK-IN CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUKAT ALI KHAN M.D. (OWNER)
(317) 731-5887
Entity
Organization
Contact information
Practice address
3806 W 86TH ST, INDIANAPOLIS, IN 46268-1905
(317) 731-5887
(317) 731-5892
Mailing address
3806 W 86TH ST, INDIANAPOLIS, IN 46268-1905
(317) 731-5887
(317) 731-5892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50005032A
IN
261Q00000X
Clinic/Center
50005032A
IN
261QM1300X
Multi-Specialty Clinic/Center
50005032A
IN
261QU0200X
Urgent Care Clinic/Center
50005032A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50005032A
LICENSE
IN
Enumeration date
08/26/2008
Last updated
08/19/2011
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