DR. AMBREEN KHAN GHORI (NPI# 1326458514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326458514 |
Entity Type | Individual |
Full Name | DR. AMBREEN KHAN GHORI |
Credential | MD |
Practice Address |
2100 Goshen Rd Fort Wayne IN 46808-1493 |
Mailing Address |
2621 E Jefferson St Warsaw IN 46580-3880 |
Practice Telephone | 2604713500 |
Mailing Telephone | 5742677169 |
Enumeration Date | 2014-04-28 |
Last Update Date | 2019-12-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01082006A | IN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2500 Metrohealth Dr, Cleveland, OH 441091900 | 2167784486 |
Street Address |
2100 GOSHEN RD |
City | FORT WAYNE |
State | IN |
Zip Code | 46808-1493 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902802887 | Shelly J Edwards | Marriage & Family Therapist | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2005-06-24 |
1144820192 | Nicholas Ray Brauchler | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-10-29 |
1063019610 | Markita R Powell | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-10-07 |
1922611458 | Chase Aaron Young | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
1962015404 | Zachary Brock | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
1356954887 | Ayomikun Ajani | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
1407467210 | Allyson Thammachack | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-14 |
1245841485 | Emily Meller | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-12 |
1598383457 | Jessica Mann | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-07-08 |
1669097762 | Zabrina Przybilla | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
Find all providers in zip 46808 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396718573 | Syed R. Mumtaz | Psychiatry & Neurology | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2006-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659695278 | Harmony Medical Associates LLC | Psychiatry & Neurology | 11837 Wedgeport Ln, Fishers, IN 46037-7987 | 2010-03-25 |
1508046624 | Kearn D Hinchman D O Inc | Psychiatry & Neurology | 53779 Generations Dr Ste 1, South Bend, IN 46635-1576 | 2007-11-06 |
1144337791 | Benjamin Louis Troy | Psychiatry & Neurology | 230 East Day Road, Suite 160, Mishawaka, IN 46545-3463 | 2006-08-23 |
1770526618 | Elizabeth A Taylor | Psychiatry & Neurology | 3055 N Lake Ct, Newburgh, IN 47630 | 2006-06-14 |
1407807746 | Syed J Khan | Psychiatry & Neurology | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2006-05-12 |
1821060294 | Michael Welling | Psychiatry & Neurology | 2040 Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2006-02-01 |
1184616294 | Fadia T Aldahan | Psychiatry & Neurology | 5502 East 16th Street, Suite A21, Indianapolis, IN 46218-4932 | 2005-08-16 |
1700337920 | Kledzik Psychiatric LLC | Psychiatry & Neurology | 9245 N Meridian St, 225, Indianapolis, IN 46260-1836 | 2016-10-24 |
1255714390 | Ahmed Montaser | Psychiatry & Neurology | 121 Buntin St, Vincennes, IN 47591-1320 | 2015-07-07 |
1215334008 | Mind Md LLC | Psychiatry & Neurology | 833 Park East Blvd, Lafayette, IN 47905-0785 | 2014-11-24 |
Find all providers with the same taxonomy |
City | FORT WAYNE |
Zip Code | 46808 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.