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General NPI Number Information
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NPI Number | 1073171047
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Entity Type | Individual
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Provider Name | FARAZ AHMED KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 10300 W 8 MILE RD
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City | FERNDALE
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State | MI
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Zip | 48220-2100
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Country | US
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Telephone | 248-398-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 4250 PLYMOUTH RD
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City | ANN ARBOR
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State | MI
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Zip | 48109-2700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301509548
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License Number State | MI
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