Provider Demographics
NPI:1033392642
Name:KHAN, FARHANA H (MD)
Entity Type:Individual
Prefix:DR
First Name:FARHANA
Middle Name:H
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 QUAIL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-2165
Mailing Address - Country:US
Mailing Address - Phone:845-499-1376
Mailing Address - Fax:
Practice Address - Street 1:1040 CLIFTON AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3511
Practice Address - Country:US
Practice Address - Phone:973-272-3136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08255600208VP0014X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine