| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NEZAR KHATIB | 1164059267 | 2024-11-08 |
Nezar Khatib is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164059267. Registration indicates Nezar Khatib is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Nezar Khatib MD |
| Practice Office Address | 600 GRANT ST GARY, IN US |
| Practice Office Telephone | 2198864000 |
| Mailing Address | 10091 PEARWOOD DR SAINT JOHN, IN 463738426 US |
| Business Telephone | 6145847990 |
| Code | Practice | License No State |
|---|---|---|
| 2084N0400X PRIMARY | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | 01094361A
IN |