Khatoon, Farah Mehdi
Khatoon, Farah Mehdi is an individual health care provider with primary practice located at 100 Navarre Pl Ste 5570 , South Bend IN 46601-1169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Khatoon, Farah Mehdi can be contacted via phone (574) 647-2550.Contact Information
Primary practice address
100 Navarre Pl Ste 5570
South Bend IN 46601-1169
Phone: (574) 647-2550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | S2367 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 036126725 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 56304 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 02006332A | Indiana |
Profile Details
| NPI number | 1639356108 |
|---|---|
| LBN Legal business name | Khatoon, Farah Mehdi |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Apr 28th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639356108 | NPPES |
| Georgia | Other | 56304 | GEORGIA LICENCE |
| Georgia | Other | S2367 | GEORGIA LICENCE |
| Georgia | MEDICAID | 300049227 | GEORGIA LICENCE |
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