Individual
DR. TAHIR M KHOKHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12750 ST FRANCIS DR STE 320, CROWN POINT, IN 46307-0264
(219) 662-0077
(219) 662-9496
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01068952A
IN
207RC0000X
Cardiovascular Disease Physician
036096431
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096431
—
IL
01
—
1124399605
BCBS
IL
Enumeration date
04/12/2006
Last updated
01/12/2024
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