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Fidak Khan, MD
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1992400998

Fidak Khan is a Student in an Organized Health Care Education/Training Program based in Maywood, IL. Fidak Khan practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Fidak Khan is 1992400998 and holds a License No. (Illinois).

The current practice location address for Fidak Khan is 2160 S 1St Ave Rm 2709, Maywood, IL and can be reached out via phone at 773-216-2687.

Location: 2160 S 1St Ave Rm 2709, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992400998
Provider Name
Fidak Khan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave Rm 2709, Maywood, IL, 60153-3328
Phone Number
773-216-2687
Fax Number
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave Rm 2709
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
773-216-2687
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave Rm 2709
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
773-216-2687
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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