| Mind Md Llc | |
|
833 Park East Blvd Lafayette IN 47905-0785 | |
| (765) 743-4400 | |
| (765) 743-4411 |
| Full Name | Mind Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 833 Park East Blvd, Lafayette, Indiana |
| Authorized Official Name and Position | Syed J Khan (OWNER) |
| Authorized Official Contact | 3474324848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Md Llc Po Box 182255 Columbus OH 43218-2255 Ph: (614) 430-5707 | Mind Md Llc 833 Park East Blvd Lafayette IN 47905-0785 Ph: (765) 743-4400 |
| NPI Number | 1215334008 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 11/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215334008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 01061501A (Indiana) | Primary |
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