Individual
DR. FEHMIDA MIRBAT KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE, ZION, IL 60099
(800) 322-9183
(847) 336-2830
Mailing address
CANCER TREATMENT CENTERS OF AMERICA, 2361 PAYSPHERE CIRCLE, CHICAGP, IL 60674
(800) 322-9183
(847) 336-2830
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036052764
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052764
—
IL
Enumeration date
10/29/2006
Last updated
12/19/2019
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