Khan, Shagufta

Khan, Shagufta is an individual health care provider with primary practice located at 5529 Hohman Ave , Hammond IN 46320-1936. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khan, Shagufta can be contacted via phone (219) 934-9837.

Contact Information

Primary practice address
5529 Hohman Ave Hammond IN 46320-1936
Phone: (219) 934-9837
Fax: (219) 934-9816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01047768A Indiana

Profile Details

NPI number 1750373189
LBN Legal business name Khan, Shagufta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jun 20th, 2023 - about last year

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 1750373189 NPPES
Indiana MEDICAID 200158950
Indiana Other 0090000854

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