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Organization

INDIANA CENTER FOR HEALTH AND NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RASHID KHAIRI (OWNER)
(317) 577-5590
Entity
Organization

Contact information

Practice address
7440 N SHADELAND AVE, SUITE 206, INDIANAPOLIS, IN 46250-2029
(317) 577-5590
Mailing address
7440 N SHADELAND AVE, SUITE 206, INDIANAPOLIS, IN 46250-2029

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
01025488A
IN

Other

Enumeration date
11/21/2007
Last updated
01/08/2008
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