Provider Demographics
NPI:1770878423
Name:KHAN, FARIHA (MD)
Entity type:Individual
Prefix:
First Name:FARIHA
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:HAMPTON BEHAVIORAL HEALTH CENTER
Mailing Address - Street 2:650 RANCOCAS ROAD
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-5613
Mailing Address - Country:US
Mailing Address - Phone:609-267-7000
Mailing Address - Fax:609-518-2190
Practice Address - Street 1:HAMPTON BEHAVIORAL HEALTH CENTER
Practice Address - Street 2:650 RANCOCAS ROAD
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-5613
Practice Address - Country:US
Practice Address - Phone:609-267-7000
Practice Address - Fax:609-518-2190
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-0005025390200000X
NJ25MA096355002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program