Individual provider · NPI-1
Khaled Hassan Abdeljawad, m.d
Internal Medicine, Gastroenterology · Indianapolis, IN
NPI number1285947416
StatusActive
Last updated in NPPESMar 5, 2025
Details
- NPI
- 1285947416
- Entity type
- Individual (NPI-1)
- Name
- Khaled Hassan Abdeljawad
- Credential
- m.d
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2010
- Certification date
- Mar 5, 2025
- Last updated
- Mar 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 01071686A | IN | Yes |
| 207R00000X | Internal Medicine | 11015298A | IN | |
| 207R00000X | Internal Medicine | 01071686A | IN |
Practice location
1701 N Senate BlvdIndianapolis, IN 46202-1239
Phone 888-484-3258
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Phone 877-668-5621
Other practice locations
1001 W 10th Street- M200
Indianapolis, IN 46202
Indianapolis, IN 46202
Phone 317-656-4260
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