Jibran Durrani, MD
Hospitalist in Lafayette, IN. Individual provider (NPI-1).
NPI number1750797262
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1750797262
- Entity type
- Individual (NPI-1)
- Name
- Jibran Durrani
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2014
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 01078460A | IN | Yes |
| 207R00000X | Internal Medicine | 85653 | SC | |
| 207R00000X | Internal Medicine | MD-48355 | IA | |
| 207R00000X | Internal Medicine | 325169 | LA | |
| 207R00000X | Internal Medicine | MED-PHYS-LIC-87561 | MT | |
| 207R00000X | Internal Medicine | 4301105372 | MI | |
| 207R00000X | Internal Medicine | T9671 | TX | |
| 207R00000X | Internal Medicine | MD61262287 | WA | |
| 207R00000X | Internal Medicine | 01078460A | IN | |
| 207RA0401X | Internal Medicine, Addiction Medicine | 35134230 | OH |
Practice location
1701 S Creasy LnLafayette, IN 47905-4972
Phone 765-502-4000
Mailing address
Po Box 781076Detroit, MI 48278-1076
Phone 317-528-4800 · Fax 317-865-1479
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