Healthcare Provider Details

I. General information

NPI: 1851788020
Provider Name (Legal Business Name): FARAH BURHANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2015
Last Update Date: 12/14/2024
Certification Date: 12/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16811 SOUTHWEST FWY STE 300
SUGAR LAND TX
77479-4728
US

IV. Provider business mailing address

16811 SOUTHWEST FWY STE 300
SUGAR LAND TX
77479-4728
US

V. Phone/Fax

Practice location:
  • Phone: 281-275-0897
  • Fax:
Mailing address:
  • Phone: 281-275-0897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberS0434
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: