Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fidak Khan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992400998

Fidak Khan, MD is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave Rm 2709
Maywood, IL 60153-3328
Phone: (773) 216-2687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 125.081289 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992400998
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2023
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing address2160 S 1st Ave Rm 2709, Maywood, IL 60153-3328

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