Individual
DR. SHANE KHULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-6990
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-6990
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11023872A
IN
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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