Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 0101053383 | VA |
N | 207RH0003X | Hematology & Oncology | 0101053383 | VA |
N | 207RX0202X | Medical Oncology | 0101053383 | VA |
NPI | 1396708608 |
---|---|
Provider Name | Dr. Nassar Farid Khan |
First Address | Baltimore, MD 21297-3174 |
Second Address | Fairfax, VA 22033-1764 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2006 |
Last Update Date | 14/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005848784 | (05) | VA |
2972-0001 | CAREFIRST DC (01) | DC |
542000362 | TAX ID (01) | |
542000362 | UNITEDHEALTH GROUP (01) | |
G05566 | (02) |