Hammoud, Khaled
Hammoud, Khaled is an individual health care provider with primary practice located at 975 Mezzanine Dr Ste C , Lafayette IN 47905-8635. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Hammoud, Khaled can be contacted via phone (765) 446-5220.Contact Information
Primary practice address
975 Mezzanine Dr Ste C
Lafayette IN 47905-8635
Phone: (765) 446-5220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 01067405A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01067405A | Indiana |
Profile Details
| NPI number | 1982806402 |
|---|---|
| LBN Legal business name | Hammoud, Khaled |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | May 8th, 2024 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982806402 | NPPES |
| Indiana | Other | 000000668722 | ANTHEM |
| Indiana | MEDICAID | 200978960 | ANTHEM |
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