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NPI Code Detail

MEDICARE: SAFIULLAH KHAN DPM

MEDICARE: SAFIULLAH KHAN DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristNOTAPPLICABLEIL

General Provider Information

NPI Number : 1144154626
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAFIULLAH KHAN DPM
Provider Business Mailing Address
First Line : 755 EVANSTON ST
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-3250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5140 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3645
Country : US
Telephone Number : 773-878-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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