Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | OS016599 | PA |
NPI | 1013251347 |
---|---|
Provider Name | Dr. Farhan Khan |
First Address | Philadelphia, PA 19131-2911 |
Second Address | Philadelphia, PA 19131-1633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2012 |
Last Update Date | 24/03/2020 |