Individual
FARMAN ULLAH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5724
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5935
(928) 458-2083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16516
NH
207R00000X
Internal Medicine Physician
C1-0009567
DE
207RC0000X
Cardiovascular Disease Physician
Primary
61798
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023122
—
VT
05
—
3098774
—
NM
Enumeration date
05/11/2008
Last updated
10/02/2020
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