Provider Demographics
NPI:1043837099
Name:KHAN, FARRAH N
Entity Type:Individual
Prefix:
First Name:FARRAH
Middle Name:N
Last Name:KHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12426 BROOK COVE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2988
Mailing Address - Country:US
Mailing Address - Phone:832-607-5844
Mailing Address - Fax:
Practice Address - Street 1:8110 GATEHOUSE RD STE 200
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1252
Practice Address - Country:US
Practice Address - Phone:832-607-5844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program