Provider Demographics
NPI:1346749835
Name:KHAN, FARAH ZAREEN
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:ZAREEN
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 1:615 W 162ND ST APT 20A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-4780
Mailing Address - Country:US
Mailing Address - Phone:718-578-5992
Mailing Address - Fax:646-759-2862
Practice Address - Street 1:127 W 30TH ST FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3406
Practice Address - Country:US
Practice Address - Phone:718-578-5992
Practice Address - Fax:646-759-2862
Is Sole Proprietor?:No
Enumeration Date:2018-02-09
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered