Individual
MOHAMMED HYDER ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 MICHIGAN AVE, LA PORTE, IN 46350-3506
(219) 727-8015
Mailing address
1011 MICHIGAN AVE, LA PORTE, IN 46350-3506
(219) 727-8015
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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