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1164477097

NPI Code Detail

MEDICARE: NADEEM IKHLAQUE MD

MEDICARE: NADEEM IKHLAQUE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	22311	WV
2	207RX0202X	Medical Oncology Physician	22311	WV
3	208VP0000X	Pain Medicine Physician	22311	WV
4	207RH0003X	Hematology & Oncology Physician	01067972A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00373379	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164477097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADEEM IKHLAQUE MD

Provider Business Mailing Address
First Line	:	PO BOX 775383
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-5383
Country	:	US
Telephone Number	:	812-376-5315
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 17TH ST
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-5351
Country	:	US
Telephone Number	:	812-376-5550
Fax Number	:	812-376-5930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	08/18/2025

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Directions to “ NADEEM IKHLAQUE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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