NPIMap

Organization Active NPI

Indiana Center for Health and Nutrition

  • Medical Specialty Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1881875540
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
01025488A Issued in IN
Legal business name
INDIANA CENTER FOR HEALTH AND NUTRITION
Practice address
7440 N Shadeland Ave
Suite 206
Indianapolis, IN 46250-2029
Phone
(317) 577-5590
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rashid KhairiNPI 1578586681
Title
Owner
Phone
(317) 577-5590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 01025488A IN Primary

Addresses

Primary practice location

7440 N Shadeland Ave
Suite 206
Indianapolis, IN 46250-2029

Mailing address

7440 N Shadeland Ave
Suite 206
Indianapolis, IN 46250-2029

National Provider Directory

National Provider Directory

Locations

7440 N Shadeland Ave
#206
Indianapolis, IN 46250
Phone (317) 577-5590

7440 N Shadeland Ave
Ste 206
Indianapolis, IN 46250
Phone (317) 577-5590

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1881875540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE",
            "address_2": "SUITE 206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE",
            "address_2": "SUITE 206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502029",
            "telephone_number": "317-577-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CENTER FOR HEALTH AND NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "KHAIRI",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-577-5590",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "01025488A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.