Faris, Khaldoun
Faris, Khaldoun is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Anesthesiology, Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Faris, Khaldoun can be contacted via phone (508) 334-3271.Contact Information
Primary practice address
55 Lake Ave N Department Of Anesthesiology
Worcester MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 155502 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 155502 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 155502 | Massachusetts |
Profile Details
| NPI number | 1700876844 |
|---|---|
| LBN Legal business name | Faris, Khaldoun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Nov 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700876844 | NPPES |
| Massachusetts | MEDICAID | 110001675A |
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