Individual
SYED J KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01061501A
IN
2084P0800X
Psychiatry Physician
Primary
036120854
IL
2084P0804X
Child & Adolescent Psychiatry Physician
01061501A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000691246
ANTHEM
IN
01
—
000000775649
ANTHEM
IN
05
—
200825610
—
IN
05
—
209931580A
—
IN
01
—
2298696
CIGNA BEHAVIORAL HEALTH
IN
01
—
388979
MANAGED HEALTH NETWORK
IN
01
—
577438
VALUE OPTIONS
IN
01
—
7029777
AETNA
IN
01
—
D03211
MEDICARE RR GRP#
IN
01
—
P01191767
RR MEDICARE PTAN
IN
Enumeration date
05/12/2006
Last updated
10/27/2025
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