MEDICARE: DR. FAHIM ZAMAN KHAN M.D.

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
1	207RP1001X	Pulmonary Disease Physician	01053713A	IN
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	35.097306	OH
3	207RP1001X	Pulmonary Disease Physician	35097306	OH
4	207RP1001X	Pulmonary Disease Physician	MA07381900	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245527803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAHIM ZAMAN KHAN M.D.

Provider Business Mailing Address
First Line	:	6920 POINTE INVERNESS WAY STE 200
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-7934
Country	:	US
Telephone Number	:	260-479-3514
Fax Number	:	260-479-3520

Provider Business Practice Location Address
First Line	:	7950 W JEFFERSON BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4140
Country	:	US
Telephone Number	:	260-432-2297
Fax Number	:	260-434-6481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2011
Last Update Date	:	06/08/2026

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Directions to “ DR. FAHIM ZAMAN KHAN M.D.” Practice Location

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