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Individual

KHURRAM SHAHZAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3634
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01077901A
IN
207R00000X
Internal Medicine Physician
35.126081
OH
207R00000X
Internal Medicine Physician
50091
KY
207R00000X
Internal Medicine Physician
TP556
KY
208M00000X
Hospitalist Physician
01077901A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0143779
OH
05
7100443560
KY
01
PENDING
ANTHEM PROVIDER NUMBER
IN
Enumeration date
04/12/2012
Last updated
08/29/2017
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