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NPI Code Detail

MEDICARE: FARAH KHAN MD

MEDICARE: FARAH 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
1207P00000XEmergency Medicine Physician37853FL

General Provider Information

NPI Number : 1396374625
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARAH KHAN MD
Provider Business Mailing Address
First Line : 4900 SW 46TH CT APT 1204
Second Line :
City : OCALA
State : FL
Zip : 34474-6273
Country : US
Telephone Number : 847-722-2355
Fax Number :
Provider Business Practice Location Address
First Line : 200 AVENUE F NE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4193
Country : US
Telephone Number : 863-293-1211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2020
Last Update Date : 11/07/2024

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