| Shagufta Khan, MD | |
|
9800 Valparaiso Dr, Munster, IN 46321-4040 | |
| (219) 934-9837 | |
| (219) 934-9816 |
| Full Name | Shagufta Khan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9800 Valparaiso Dr, Munster, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750373189 | NPI | - | NPPES |
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| 200158950 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01047768A (Indiana) | Primary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Shagufta Khan, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Shagufta Khan, MD 9800 Valparaiso Dr, Munster, IN 46321-4040 Ph: (219) 934-9837 |
Mrs. Azra Shibli Sheriff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9128 Columbia Ave, Ste A, Munster, IN 46321 Phone: 219-836-2730 Fax: 219-836-0244 | |
Linda T Chan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Macarthur Blvd, Ste 21, Munster, IN 46321 Phone: 219-836-1163 Fax: 219-836-0588 | |
Dr. Eric Heinert, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9126 Columbia Ave, Munster, IN 46321 Phone: 219-836-1600 | |
Dr. Erica Lynne Yamout, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1946 45th Ave, Munster, IN 46321 Phone: 219-924-7794 | |
Dr. Robert H. Wadle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Hammond Clinic Llc, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-934-9816 | |
Jacquelyn Michelle Kukulski, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 10240 Calumet Ave Fl 2, Munster, IN 46321 Phone: 219-922-9150 Fax: 219-922-9180 | |
Wichest Boonyapredee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Macarthur Blvd, Neonatology Department, Munster, IN 46321 Phone: 219-836-2022 |