Individual
DR. FAHIM ZAMAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6481
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
01053713A
IN
207RP1001X
Pulmonary Disease Physician
Primary
35097306
OH
207RP1001X
Pulmonary Disease Physician
MA07381900
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35.097306
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066316
—
OH
05
—
201301460
—
IN
Enumeration date
07/05/2011
Last updated
09/29/2020
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