Individual
ABDUL HAMID KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 E COOK RD STE 300, FORT WAYNE, IN 46825-3657
(317) 944-8906
(317) 944-9330
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P0988
TX
2080P0202X
Pediatric Cardiology Physician
Primary
01080613A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186873901
—
TX
05
—
300017482
—
IN
Enumeration date
09/19/2011
Last updated
02/14/2026
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