Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 0101262592 | VA |
N | 208000000X | Pediatrician | 0116027420 | VA |
NPI | 1194130294 |
---|---|
Provider Name | Farah Nawaz Khan |
First Address | Falls Church, VA 22042-3307 |
Second Address | Vienna, VA 22180-4309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2014 |
Last Update Date | 10/09/2020 |