Provider Demographics
NPI:1841510294
Name:KHAN, ADEEL N (MD)
Entity type:Individual
Prefix:DR
First Name:ADEEL
Middle Name:N
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1481 WEST 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2803
Mailing Address - Country:US
Mailing Address - Phone:713-922-5538
Mailing Address - Fax:
Practice Address - Street 1:11188 DIEBOLD RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-9662
Practice Address - Country:US
Practice Address - Phone:260-483-9500
Practice Address - Fax:260-483-9511
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX0037512207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology