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General NPI Number Information
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NPI Number | 1295744985
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Entity Type | Organization
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Legal Business Name | ABRAR U KHAN MD
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 8701 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7035
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Country | US
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Telephone | 219-769-1670
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Fax | 219-738-6714
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Provider Business Mailing Address
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Address Line | 55 E 86TH AVE PO BOX 10645
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6382
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Country | US
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Telephone | 219-769-1670
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Fax | 219-738-6714
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ABRAR U KHAN
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Credential | MD
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Telephone | 219-769-1670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 01052867
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License Number State | IN
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