Individual
FARRUKH AHMED KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2775
(570) 271-7836
(570) 271-8795
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
100804
FL
207RC0000X
Cardiovascular Disease Physician
35084666
OH
207RC0000X
Cardiovascular Disease Physician
Primary
MD449816
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337213
AETNA
OH
01
—
04582
PARAMOUNT
OH
01
—
24-46644
UHC
OH
05
—
2500976
—
OH
01
—
364176019-00
BWC
OH
05
—
4680700
—
MI
05
—
4680719
—
MI
05
—
4680728
—
MI
01
—
7558554
AETNA
OH
01
—
P00142700
RRMC
OH
Enumeration date
08/10/2005
Last updated
08/20/2020
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