Individual
ARIF KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 FIR ST UNIT 320, EAST CHICAGO, IN 46312-3076
(219) 392-7992
(219) 392-7987
Mailing address
4320 FIR ST UNIT 320, EAST CHICAGO, IN 46312-3076
(219) 392-7992
(219) 392-7987
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01050384A
IN
207RC0000X
Cardiovascular Disease Physician
036-100068
IL
207RI0011X
Interventional Cardiology Physician
0100384A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01050384A
IN
207RI0011X
Interventional Cardiology Physician
036-100068
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095323
ANTHEM PIN
IN
05
—
200254360
—
IN
05
—
200254360A
—
IN
01
—
P00679601
RAILROAD MEDICARE
—
Enumeration date
12/06/2005
Last updated
09/01/2020
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