Individual
DR. KANHAI FARRAKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-0580
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-0580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04278
RI
207RG0100X
Gastroenterology Physician
Primary
327245
NY
Other
Enumeration date
06/07/2018
Last updated
05/21/2024
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