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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639356108 NPPES
Georgia Other 56304 GEORGIA LICENCE
Georgia Other S2367 GEORGIA LICENCE
Georgia MEDICAID 300049227 GEORGIA LICENCE

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