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Contact Information

KHALED HAMMOUD, MD
975 MEZZANINE DR STE C
LAFAYETTE, IN47905-8635
 Phone: 765-446-5220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KHALED HAMMOUD · (Male)

NPI # 1982806402
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2007
Last updated 05/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01067405A
  • IN Medicaid 200978960
  • IN Other 000000668722 ANTHEM
Hospital affiliation(s)
  • FRANCISCAN ST ELIZABETH HEALTH - CRAWFORDSVILLE - (Acute Care)
    1710 LAFAYETTE RD
    CRAWFORDSVILLE, IN 47933
  • FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST - (Acute Care)
    1701 S CREASY LN
    LAFAYETTE, IN 47905
  • INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL - (Acute Care)
    5165 MCCARTY LN
    LAFAYETTE, IN 47905
  • JASPER COUNTY HOSPITAL - (Critical Access)
    1104 E GRACE ST
    RENSSELAER, IN 47978
  • MEMORIAL HOSPITAL - (Acute Care)
    1101 MICHIGAN AVE
    LOGANSPORT, IN 46947
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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