Provider Demographics
NPI:1003479023
Name:ULLAH, FARHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:FARHAN
Middle Name:
Last Name:ULLAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KHALIL ULLAH, ASSISTANT CONTROLLER, KMU, PHASE 5
Mailing Address - Street 2:HAYALABAD
Mailing Address - City:PESHAWAR
Mailing Address - State:KPK
Mailing Address - Zip Code:25000
Mailing Address - Country:PK
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1003 ELKINS DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2891
Practice Address - Country:US
Practice Address - Phone:304-290-7208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-16
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program