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Individual

JIBRAN DURRANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01078460A
IN
207R00000X
Internal Medicine Physician
325169
LA
207R00000X
Internal Medicine Physician
4301105372
MI
207R00000X
Internal Medicine Physician
85653
SC
207R00000X
Internal Medicine Physician
MD-48355
IA
207R00000X
Internal Medicine Physician
MD61262287
WA
207R00000X
Internal Medicine Physician
MED-PHYS-LIC-87561
MT
207R00000X
Internal Medicine Physician
T9671
TX
207RA0401X
Addiction Medicine (Internal Medicine) Physician
35134230
OH
208M00000X
Hospitalist Physician
Primary
01078460A
IN

Other

Enumeration date
07/03/2014
Last updated
06/05/2023
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