Organization
COMMUNITY HEALTHCARE CONSULTANTS LLC
Active
Other names
Community Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
HAMMAD H. BOKHARI M.D. (MEMBER)
(812) 590-1600
Entity
Organization
Contact information
Practice address
2916 PEACH BLOSSOM DR STE 101, JEFFERSONVILLE, IN 47130-8380
(812) 590-1600
(812) 590-6561
Mailing address
2916 PEACH BLOSSOM DR STE 101, JEFFERSONVILLE, IN 47130-8380
(812) 590-1600
(812) 590-6561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01057661A
IN
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
01057661A
IN
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D2119413
CLIA
IN
05
—
201353880 A
—
IN
05
—
7100453720
—
KY
Enumeration date
03/08/2016
Last updated
10/01/2020
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