NPI 1215334008

Mind MD LLC

Organisation Child & Adolescent Psychiatry Physician Lafayette, IN

Practice location

Address: 833 Park East Blvd, Lafayette, IN 47905-0785
Phone: (765) 743-4400
Fax: (765) 743-4411
Mailing address: PO Box 182255, Columbus, OH 43218-2255

Authorised official

Name: Syed J Khan
Title: Owner
Phone: (347) 432-4848

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 01061501A (IN)

Other Psychiatry & Neurology providers in Indiana →

Registry record

NPI: 1215334008
Entity type: Organization
NPI issued: 24 Nov 2014
Record last updated: 24 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.