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Individual

FARAH KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4200 SAVANNAH DR, DEFOREST, WI 53532-2909
(608) 417-3300
(608) 417-3333
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014-00863
NC
207Q00000X
Family Medicine Physician
Primary
65053
WI
207Q00000X
Family Medicine Physician
P4068
TX

Other

Enumeration date
07/06/2011
Last updated
03/15/2016
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