MEDICARE: FARAZ KHURSHEED M.D.

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
1	2084N0400X	Neurology Physician	MD.207042	LA
2	208VP0014X	Interventional Pain Medicine Physician	ME122905	FL
3	2084N0400X	Neurology Physician	ME122905	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376705681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAZ KHURSHEED M.D.

Provider Business Mailing Address
First Line	:	10000 STIRLING RD STE 1
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-8067
Country	:	US
Telephone Number	:	954-748-7474
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 STIRLING RD STE 1
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-8067
Country	:	US
Telephone Number	:	954-748-7474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	05/20/2024

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Directions to “ FARAZ KHURSHEED M.D.” Practice Location

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