Individual
DR. RABIH KALAKECHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 MEZZANINE DR, SUITE A, LAFAYETTE, IN 47905-8637
(765) 448-8000
(765) 838-6351
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01067991A
IN
390200000X
Student in an Organized Health Care Education/Training Program
2005017732
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000666462
ANTHEM PROVIDER NUMBER
IN
05
—
200980480
—
IN
Enumeration date
06/04/2007
Last updated
02/03/2021
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