# THEA A WOJTKOWSKI KHAN-FAROOQI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124068291
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 47982 | CO | Yes |
| 207X00000X | Orthopaedic Surgery Physician | MD00044171 | WA | — |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 11/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41208030 | — | CO |
| 05 | — | 8447393 | — | WA |
| 01 | — | CO306351 | MEDICARE PTAN | CO |