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Organization

MIND MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SYED J KHAN M.D. (OWNER)
(347) 432-4848
Entity
Organization

Contact information

Practice address
833 PARK EAST BLVD, LAFAYETTE, IN 47905-0785
(765) 743-4400
(765) 743-4411
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5707
(614) 430-5744

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01061501A
IN

Other

Enumeration date
11/24/2014
Last updated
11/24/2014
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