Individual
FAREEHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0470
(410) 550-0184
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017-01895
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D98208
MD
Other
Enumeration date
04/05/2012
Last updated
11/22/2023
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