Individual
FARZANA A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2010 E COLUMBUS DR, EAST CHICAGO, IN 46312
(219) 397-6369
Mailing address
2010 E COLUMBUS DR, EAST CHICAGO, IN 46312-2830
(219) 397-6369
(219) 750-9699
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01038685
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100324130A
—
IN
Enumeration date
06/03/2006
Last updated
06/28/2019
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