Provider Demographics
NPI:1063457208
Name:KHAN, FAROOQUE SA (MD)
Entity Type:Individual
Prefix:DR
First Name:FAROOQUE
Middle Name:SA
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2961 CROUSE LANE
Mailing Address - Street 2:SUITE D
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8833
Mailing Address - Country:US
Mailing Address - Phone:336-584-7050
Mailing Address - Fax:336-584-7066
Practice Address - Street 1:2961 CROUSE LANE
Practice Address - Street 2:SUITE D
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8833
Practice Address - Country:US
Practice Address - Phone:336-584-7050
Practice Address - Fax:336-584-7066
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2012-05-23
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Provider Licenses
StateLicense IDTaxonomies
ME016016207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine