Individual
DR. MICHAEL M KHOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-4705
(317) 948-0943
Mailing address
950 N MERIDIAN STREET, SUITE 500, INDIANAPOLIS, IN 46204-3908
(317) 963-0860
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01072606A
IN
208000000X
Pediatrics Physician
01072606A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11014313A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201101030
—
IN
Enumeration date
06/05/2008
Last updated
04/25/2023
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