Individual
FAKHAR J KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARIOLOGY DEPT, HARTFORD, CT 06102-5037
(860) 972-4398
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102-5037
(860) 972-4398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
056183
CT
208M00000X
Hospitalist Physician
2012-00112
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053547778
—
CT
05
—
1053547778
—
VA
05
—
3810023677
—
WV
05
—
5920593
—
NC
05
—
Q0011G
—
SC
Enumeration date
06/09/2009
Last updated
07/21/2022
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