Individual
OMAR EL-KHODARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 UNIVERSITY BLVD # UH1501, INDIANAPOLIS, IN 46202-5149
(317) 948-1310
(317) 948-0503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003776A
IN
363AM0700X
Medical Physician Assistant
10003776A
IN
Other
Enumeration date
10/14/2022
Last updated
10/25/2022
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