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NPI Code Detail

MEDICARE: FARHAN AHMAD KHAN MD

MEDICARE: FARHAN AHMAD KHAN MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician59281TN

General Provider Information

NPI Number : 1245664416
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARHAN AHMAD KHAN MD
Provider Business Mailing Address
First Line : PO BOX 736387
Second Line :
City : DALLAS
State : TX
Zip : 75373-6387
Country : US
Telephone Number : 888-490-5457
Fax Number : 843-410-5519
Provider Business Practice Location Address
First Line : 1265 UNION AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3415
Country : US
Telephone Number : 901-516-7182
Fax Number : 901-276-5474
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 04/28/2026

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