Healthcare Provider Details

I. General information

NPI: 1285966200
Provider Name (Legal Business Name): CAROLINA ANESTHESIA AND PAIN CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 05/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2961 CROUSE LN SUITE D
BURLINGTON NC
27215-8833
US

IV. Provider business mailing address

2961 CROUSE LN SUITE D
BURLINGTON NC
27215-8833
US

V. Phone/Fax

Practice location:
  • Phone: 336-584-7050
  • Fax: 336-584-7066
Mailing address:
  • Phone: 336-584-7050
  • Fax: 336-584-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number2009-02055
License Number StateNC

VIII. Authorized Official

Name: DR. FAROOQUE S KHAN
Title or Position: OWNER
Credential: M.D.
Phone: 336-586-0994