Khan, Faiz Ullah

Khan, Faiz Ullah is an individual health care provider with primary practice located at 900 I St , La Porte IN 46350-5533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Khan, Faiz Ullah can be contacted via phone (219) 324-1700.

Contact Information

Primary practice address
900 I St La Porte IN 46350-5533
Phone: (219) 324-1700
Fax: (219) 324-1602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01063976A Indiana

Profile Details

NPI number 1861698904
LBN Legal business name Khan, Faiz Ullah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Mar 31st, 2021 - about 3 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 1861698904 NPPES
Indiana MEDICAID 200882930

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