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1861698904
FAIZ ULLAH KHAN
LA PORTE, IN
NPI
1861698904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01063976A)
Enumeration Date
2007-06-25
Last Update Date
2021-03-31
Business Address
FAIZ ULLAH KHAN MD
900 I ST
LA PORTE, IN 46350-5533
Phone number: 219-324-1700
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Mailing Address
FAIZ ULLAH KHAN MD
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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