Provider Demographics
NPI:1265838940
Name:KHANJANI, FERIDA (DC, MPH)
Entity Type:Individual
Prefix:DR
First Name:FERIDA
Middle Name:
Last Name:KHANJANI
Suffix:
Gender:F
Credentials:DC, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 STATE RD
Mailing Address - Street 2:
Mailing Address - City:ELIOT
Mailing Address - State:ME
Mailing Address - Zip Code:03903-1087
Mailing Address - Country:US
Mailing Address - Phone:207-289-9673
Mailing Address - Fax:
Practice Address - Street 1:31 OLD POST RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-5813
Practice Address - Country:US
Practice Address - Phone:207-289-9673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor