Individual
FARIDOON KHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
219 CASS AVE, SUITE J, WOONSOCKET, RI 02895-4741
(401) 766-7956
(401) 765-7959
Mailing address
219 CASS AVE, SUITE J, WOONSOCKET, RI 02895-4741
(401) 766-7956
(401) 765-7959
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
3904
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3904
MEDICAL LICENSE
RI
05
—
9000212
—
RI
Enumeration date
04/13/2006
Last updated
07/08/2007
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