Individual
DR. FAREEHA I KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 GALLOWS RD STE 100, VIENNA, VA 22182-3886
(703) 560-1075
(703) 560-1076
Mailing address
1900 GALLOWS RD STE 100, VIENNA, VA 22182-3886
(703) 560-1075
(703) 560-1076
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101055045
VA
207RC0000X
Cardiovascular Disease Physician
0101055045
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010034736
—
VA
01
—
2128312
MAMSI
VA
01
—
267155
ANTHEM
VA
01
—
3304254
AETNA HMO
VA
01
—
7489487
AETNA PPO
VA
01
—
J093 0001
CAREFIRST BCBS
VA
01
—
P00094786
RR MEDICARE
VA
Enumeration date
05/27/2005
Last updated
11/08/2021
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