Individual
DR. KHALED A REHEEM-FARAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7330 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2941
(219) 844-1444
(219) 844-1448
Mailing address
7330 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2941
(219) 844-1444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01059379A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200495810
—
IN
Enumeration date
06/16/2006
Last updated
10/31/2011
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