Provider Demographics
NPI:1083466635
Name:KHAN, UMM E FARWA (MD)
Entity Type:Individual
Prefix:
First Name:UMM E FARWA
Middle Name:
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 1:23 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9333
Mailing Address - Country:US
Mailing Address - Phone:847-915-0894
Mailing Address - Fax:
Practice Address - Street 1:23 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9333
Practice Address - Country:US
Practice Address - Phone:847-915-0894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program