Breathett, Khadijah K

Breathett, Khadijah K is an individual health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Breathett, Khadijah K can be contacted via phone (888) 484-3258.

Contact Information

Primary practice address
1701 N Senate Blvd Indianapolis IN 46202-1239
Phone: (888) 484-3258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 01087191A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01087191A Indiana

Profile Details

NPI number 1184891392
LBN Legal business name Breathett, Khadijah K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2008
Last updated Mar 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184891392 NPPES
Indiana MEDICAID 300059224

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