Khan, Atiya S.

Khan, Atiya S. is an individual health care provider with primary practice located at 11115 Parkview Plaza Dr , Fort Wayne IN 46845-1701. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Khan, Atiya S. can be contacted via phone (260) 266-5400.

Contact Information

Primary practice address
11115 Parkview Plaza Dr Fort Wayne IN 46845-1701
Phone: (260) 266-5400
Fax: (260) 266-5405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01059831A Indiana
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 01059831A Indiana
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 01059831A Indiana

Profile Details

NPI number 1881691368
LBN Legal business name Khan, Atiya S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881691368 NPPES
Indiana MEDICAID 200507010
Indiana MEDICAID 2168078
Indiana MEDICAID 4851469
Indiana Other P00200805

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