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Individual

DR. FARAH MEHDI KHATOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
100 NAVARRE PL STE 5570, SOUTH BEND, IN 46601-1169
(574) 647-2550
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
02006332A
IN
2080P0205X
Pediatric Endocrinology Physician
036126725
IL
2080P0205X
Pediatric Endocrinology Physician
56304
GA
2080P0205X
Pediatric Endocrinology Physician
S2367
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300049227
IN
01
56304
GEORGIA LICENCE
GA
01
S2367
TEXAS MEDICAL BOARD
TX
Enumeration date
01/28/2008
Last updated
04/28/2023
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