Individual
BACHAR AL KHATIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 S PILGRIM BLVD, YORKTOWN, IN 47396-9250
(765) 759-4068
(765) 759-4075
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01053337A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200295820A
—
IN
Enumeration date
07/23/2006
Last updated
11/18/2020
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