DR. AMBREEN KHAN GHORI


Address: 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Phone: 2604713500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
01082006A IN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2500 Metrohealth Dr, Cleveland, OH 441091900 2167784486

Office Location

Street Address 2100 GOSHEN RD
City FORT WAYNE
State IN
Zip Code 46808-1493

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396718573 Syed R. Mumtaz Psychiatry & Neurology 909 E State Blvd, Fort Wayne, IN 46805-3404 2006-02-09

Providers in the same taxonomy and state

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
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Competitor

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City FORT WAYNE
Zip Code 46808

Improve Information

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Dataset Information

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.

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