Organization
SERENITY MEDICAL CENTER WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED J KHAN MD (PARTNER)
(317) 621-4170
Entity
Organization
Contact information
Practice address
10765 LANTERN ROAD, SUITE 202, FISHERS, IN 46038-3597
(317) 621-4170
(317) 621-4182
Mailing address
10765 LANTERN ROAD, SUITE 202, FISHERS, IN 46038-3597
(317) 621-4170
(317) 621-4182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
06/20/2012
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