Physician Compare National (NPI:1760593693)

HEALTHCARE PROVIDER: FARHAN A KHAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1760593693
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961502562
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081020000117
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHAN
	Individual professional last name
Provider First Name	FARHAN
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	CARDIORENAL THERAPEUTICS LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7416280425
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	948 N DAMEN AVE
	Group Practice or individual's line 1 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606224910
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9043301024
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140160
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FHN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140228
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SWEDISH AMERICAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140174
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PRESENCE MERCY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140029
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COPLEY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	140239
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ROCKFORD MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1760593693)

HEALTHCARE PROVIDER: FARHAN A KHAN MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information