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General NPI Number Information
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NPI Number | 1568774347
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Entity Type | Individual
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Provider Name | FARIAH HABIB KHAN DO
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Gender | Female
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1755 N MECKLENBURG AVE
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City | SOUTH HILL
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State | VA
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Zip | 23970-4080
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Country | US
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Telephone | 434-447-3151
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Fax | 434-584-5023
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Provider Business Mailing Address
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Address Line | 213 S JEFFERSON ST STE 207
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City | ROANOKE
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State | VA
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Zip | 24011-1713
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Country | US
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Telephone | 540-224-5353
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0102202654
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2021047987
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0102202654
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License Number State | VA
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