Jahan Ali Khajeh
Hospitalist in Lafayette, IN. Individual provider (NPI-1).
NPI number1013648666
StatusActive
Last updated in NPPESAug 15, 2025
Details
- NPI
- 1013648666
- Entity type
- Individual (NPI-1)
- Name
- Jahan Ali Khajeh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2022
- Certification date
- Aug 15, 2025
- Last updated
- Aug 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 1013648666 | IN | Yes |
| 207R00000X | Internal Medicine | 01096404A | IN |
Practice location
1701 S Creasy LnLafayette, IN 47905-4972
Phone 765-502-4000
Mailing address
Po Box 781076Detroit, MI 48278-1076
Phone 317-582-4800 · Fax 317-865-1479
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