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NPI Code Detail

MEDICARE: DR. FARAH D KHAN VA

MEDICARE: DR. FARAH D KHAN VA
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
1207Q00000XFamily Medicine Physician9301073594MI
2207Q00000XFamily Medicine Physician50463WI

Other Identifiers

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

General Provider Information

NPI Number : 1346234291
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARAH D KHAN VA
Provider Business Mailing Address
First Line : 3700 FETTLER PARK
Second Line : DUMFRIES HEALTH CENTER
City : DUMFRIES
State : VA
Zip : 22025
Country : US
Telephone Number : 703-441-7500
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-231-1803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 12/17/2025

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Directions to “ DR. FARAH D KHAN VA” Practice Location

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