Individual
MEHTAB A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
320S 48TH ST, RICHMOND, IN 47374-6070
(765) 935-0629
Mailing address
320S 48TH ST, RICHMOND, IN 47374-6070
(765) 935-0629
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01067816A
IN
2084P0800X
Psychiatry Physician
Primary
25MA09684800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000731352
ANTHEM
—
05
—
200995260
—
IN
05
—
3109166
—
OH
Enumeration date
10/01/2006
Last updated
11/13/2025
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