Individual provider · Type 1 NPI

Nouredean Khrisat, DO

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1922701143 Active

Practice location

550 University Blvd
Indianapolis, IN 46202-5149

Call (317) 274-0275 Map

Fax (317) 274-0256

Mailing address

8629 Mcvicker Ave
Burbank, IL 60459-2511

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922701143

Nouredean Khrisat, DO's National Provider Identifier is 1922701143, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 27, 2024.