SYED J KHAN (NPI# 1407807746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407807746 |
| Entity Type | Individual |
| Full Name | SYED J KHAN |
| Credential | MD |
| Practice Address |
10765 Lantern Road Suite 102 Fishers IN 46038-3597 |
| Practice Telephone | 3176214181 |
| Practice Fax Number | 3176214182 |
| Mailing Telephone | (317) 621-4181 |
| Mailing Fax Number | 3176214182 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01061501A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200825610 | 05 | |
| IN | ANTHEM | 000000775649 | 01 |
| IN | VALUE OPTIONS | 577438 | 01 |
| IN | ANTHEM | 000000691246 | 01 |
| IN | AETNA | 7029777 | 01 |
| IN | RR MEDICARE PTAN | P01191767 | 01 |
| IN | 209931580A | 05 | |
| IN | MEDICARE RR GRP# | D03211 | 01 |
| IN | CIGNA BEHAVIORAL HEALTH | 2298696 | 01 |
| IN | MANAGED HEALTH NETWORK | 388979 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 S Lafountain St, Kokomo, IN 469023803 | 7654538547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942665351 | Syed Ziauddin Ahmed Khan | Pharmacist | 14220 Northbrook Dr Ste 100, San Antonio, TX 78232-5045 | 2015-12-30 |
| 1326231325 | Syed Mahmood Ali Khan | Radiology | 27483 Dequindre Rd, Suite 101, Madison Heights, MI 48071-3491 | 2007-08-22 |
| 1093799595 | Syed Anjum Khan | Internal Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2005-11-30 |
| Street Address |
10765 LANTERN ROAD SUITE 102 |
| City | FISHERS |
| State | IN |
| Zip Code | 46038-3597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447527577 | Megan E Henning | Social Worker | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2011-11-17 |
| 1467736561 | Serenity Medical Center West LLC | Social Worker | 10765 Lantern Road, Suite 202, Fishers, IN 46038-3597 | 2011-10-06 |
| 1023290137 | Aimee M Nielsen | Social Worker | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2007-11-30 |
| 1033326947 | Kanwaldeep Sidhu | Psychiatry & Neurology | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2007-05-17 |
| 1497979793 | Michael R Quattrocchi | Psychologist | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447976 | Pratima Shrestha | Nurse Practitioner | 11680 Commercial Dr Ste 200, Fishers, IN 46038 | 2018-11-29 |
| 1295242782 | Monica Hengge | Counselor | 11650 Lantern Rd Ste 128, Fishers, IN 46038 | 2018-01-05 |
| 1912437146 | Aaron Justin Tai | Optometrist | 10967 Allisonville Rd Ste 120, Fishers, IN 46038 | 2017-06-20 |
| 1124411657 | Amy K Parris | Social Worker | 11650 N. Lantern Road, Suite 232, Fishers, IN 46038 | 2015-03-09 |
| 1174948202 | New Roots Behavior Strategies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13448 Fulton Drive, Fishers, IN 46038 | 2014-02-26 |
| 1306195292 | Planned Parenthood of Indiana Fishers | Clinic/Center | 8937 Technology Drive, Fishers, IN 46038 | 2012-09-06 |
| 1720336647 | Heather Jo Handley | Physical Therapist | 11650 N. Lantern Road, Suite 235, Fishers, IN 46038 | 2012-08-27 |
| 1770866287 | Kristin Nicole Eckerle | Pharmacist | 13962 Boulder Canyon Drive, Fishers, IN 46038 | 2011-09-21 |
| 1518267830 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 10312 Allisonville Rd, Fishers, IN 46038 | 2010-11-02 |
| 1316195316 | Barbara Elizabeth Rucker | Psychologist | 13179 Huff Blvd, Fishers, IN 46038 | 2008-09-03 |
| Find all providers in zip 46038 | ||||
| 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 |
|---|---|---|---|---|
| 1659695278 | Harmony Medical Associates LLC | Psychiatry & Neurology | 11837 Wedgeport Ln, Fishers, IN 46037-7987 | 2010-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1326458514 | Ambreen Khan Ghori | Psychiatry & Neurology | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2014-04-28 |
| 1689092389 | Nisha Kadri Rao | Psychiatry & Neurology | 24 Joliet St, Dyer, IN 46311 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
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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.