Farzana A Khan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01038685 Issued in IN

Practice address

2010 E Columbus Dr
East Chicago, IN 46312

Phone

(219) 397-6369

NPI assigned

Jun 3, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illiana Psychiatric Associates Inc PC

  • Clinical Psychologist
  • East Chicago, IN
  • NPI 1811291248
  Medicare reassignment Authorized official
• Illiana Psychiatric Associates

  • Prescribing (Medical) Psychologist
  • East Chicago, IN
  • NPI 1932441631
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1114965084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E COLUMBUS DR",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122830",
            "telephone_number": "219-397-6369",
            "fax_number": "219-750-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E COLUMBUS DR",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "46312",
            "telephone_number": "219-397-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Fir St",
            "address_purpose": "LOCATION",
            "city": "East Chicago",
            "state": "IN",
            "postal_code": "463123052",
            "country_code": "US",
            "telephone_number": "219-397-6369",
            "fax_number": "219-794-9422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARZANA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01038685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100324130A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amit Kakkar, MD
• Kakodkar Family Medical Center
• Arvind Kakodkar, M.D.
• Kantilal S. Patel M.D.
• Arif Khalil, M.D.
• Samina Niaz Khattak, MD
• Jun Dong Kim, DO
• Ny'Jah King
• Kool Smiles in-3, PC
• Sharon Kraus, PH.D, HSPP

• Psychiatry Physician in East Chicago, IN
• Providers in East Chicago, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.