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NPI Code Detail

MEDICARE: FARHEEN SHAH-KHAN MD

MEDICARE:   FARHEEN  SHAH-KHAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician125-048429IL
2207RN0300XNephrology Physician036121430IL

General Provider Information

NPI Number : 1164644480
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARHEEN SHAH-KHAN MD
Provider Business Mailing Address
First Line : PO BOX 597315
Second Line :
City : CHICAGO
State : IL
Zip : 60659-7315
Country : US
Telephone Number : 773-423-6400
Fax Number :
Provider Business Practice Location Address
First Line : 1544 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60642-5236
Country : US
Telephone Number : 773-232-2300
Fax Number : 773-232-2301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 05/15/2024

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Directions to “ FARHEEN SHAH-KHAN MD” Practice Location

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