SIRAJABID KHATIB (NPI# 1396737524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396737524 |
| Entity Type | Individual |
| Full Name | SIRAJABID KHATIB |
| Credential | MD |
| Practice Address |
441 N Wabash Ave Marion IN 46952-2612 |
| Mailing Address |
330 N Wabash Suite G20 Marion IN 46952-2600 |
| Practice Telephone | 7656624236 |
| Practice Fax Number | 7656624903 |
| Mailing Telephone | 7656607600 |
| Mailing Fax Number | 7656517313 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01050026A | IN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 01050026A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200375870 | 05 | |
| IN | ANTHEM | 000001150856 | 01 |
| Street Address |
441 N WABASH AVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895081 | Marion General Radiology, Inc. | Radiology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2005-07-19 |
| 1972152114 | Amber Banks | Hospitalist | 441 N Wabash Ave, Marion, IN 46952-2612 | 2019-09-10 |
| 1003463019 | Robert Joseph Simmons | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2690 | 2019-08-23 |
| 1992265904 | Mary Jacqueline Wharton | Hospitalist | 441 N Wabash Ave, Marion, IN 46952-2612 | 2019-03-25 |
| 1609331016 | Anna Lois Mccullough | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2690 | 2019-02-10 |
| 1952873648 | Kendra Lyn Smith | Anesthesiology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-12-19 |
| 1639641426 | Claire D Faia | Nurse Anesthetist, Certified Registered | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-12-18 |
| 1912482332 | Marion General Hospital | Emergency Medicine | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-10-02 |
| 1134617228 | Jennifer Gelhaus | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-04-25 |
| 1760996375 | Carolyn Sue Smith | Registered Nurse | 441 N Wabash Ave, Marion, IN 46952-2612 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088427 | Bei Wang | Internal Medicine | 2703 Prestwick Way, Marion, IL 62959 | 2012-06-21 |
| 1063704765 | Blue Ridge Medical Management Corporation | Internal Medicine | 1118 Snider St, Marion, VA 24354-4216 | 2011-05-12 |
| 1194958249 | Crittenden Hospital Association | Internal Medicine | 310 Judge Smith Dr, Marion, AR 72364-2220 | 2009-08-24 |
| 1033340179 | Michael P Lawler Md S Corp | Internal Medicine | 1129 N Carbon St Ste 3, Marion, IL 62959-1068 | 2009-08-06 |
| 1518146471 | Tarlok S Purewal M D Inc | Internal Medicine | 1130 Independence Ave, Marion, OH 43302-6375 | 2007-10-29 |
| 1689873119 | Access Medical Group, LLC | Internal Medicine | 1135 Lake Blvd Apt 3, Marion, OH 43302-6685 | 2007-07-14 |
| 1972659928 | Pb Singh Md Inc | Internal Medicine | 1199 Delaware Ave Ste 102, Marion, OH 43302-7462 | 2007-01-25 |
| 1841385127 | Harshvardhan Poseria | Internal Medicine | 1672 Union Park Dr, Marion, OH 43302-6584 | 2006-10-04 |
| 1891895876 | Florian John Ragaz | Internal Medicine | 231 East Court Street, Marion, NC 28752 | 2006-09-22 |
| 1376658948 | Khozema Rajkotwala Md Inc | Internal Medicine | 990 South Prospect Street, Suite 2, Marion, OH 43302 | 2006-08-21 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.