Individual
DR. NASSAR FARID KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 403, FAIRFAX, VA 22033-1764
(703) 391-4395
(703) 391-4394
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
0101053383
VA
207RH0003X
Hematology & Oncology Physician
0101053383
VA
207RX0202X
Medical Oncology Physician
0101053383
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005848784
—
VA
01
—
2972-0001
CAREFIRST DC
DC
01
—
542000362
TAX ID
—
Enumeration date
04/08/2006
Last updated
12/14/2021
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