Fatima Khurrum MD

NPI 1609887942 - Family Medicine - 207Q00000X

NPI Details
NPI 1609887942
Gender Female
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2434 LAKE AVE
FORT WAYNE IN, 46805-5406, US
Phone (260) 423-2675
Fax (260) 423-6621
Business Location
2434 LAKE AVE
FORT WAYNE IN, 46805-5406, US
Phone (260) 423-2675
Fax (260) 423-6621
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 11012596
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According to our database, Fatima Khurrum MD NPI is 1609887942, taxonomy code is 207Q00000X and license number is 11012596, license state is located at Indiana. Fatima Khurrum MD physically located at 2434 Lake Ave, Fort Wayne IN, 46805-5406. NPI Number Fatima Khurrum MD has the Individual type.

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1609887942 NPI number is provided on an as is basis without warranty of any kind. 1609887942 is maintained by the National Plan & Provider Enumeration System. The contents of Fatima Khurrum MD are for informational purposes only.