Individual
MUZAMMIL ALI- KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4427 W 34TH ST, INDIANAPOLIS, IN 46222-1268
(708) 942-9104
Mailing address
3200 COLD SPRING RD, INDIANAPOLIS, IN 46222-1960
(708) 942-9104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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