Individual
FARHAN J KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 650-1300
(407) 650-1307
Mailing address
7236 STONEROCK CIR, ORLANDO, FL 32819-8000
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME121488
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME121488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35170000
—
WI
05
—
676135000
—
MN
05
—
ENROLLED
—
IA
01
—
P00728945
MEDICARE RAIL ROAD
MN
Enumeration date
08/02/2006
Last updated
03/17/2020
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