Khaki, Farbod

Khaki, Farbod is an individual health care provider with primary practice located at 6767 29Th St Fl 2 , Greeley CO 80634-5474. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Khaki, Farbod can be contacted via phone (970) 652-2426.

Contact Information

Primary practice address
6767 29Th St Fl 2 Greeley CO 80634-5474
Phone: (970) 652-2426
Fax: (970) 652-2478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X DR.0070274 Colorado
Allopathic & Osteopathic Physicians / Surgery 208600000X 49703 Arizona
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X DR.0070274 Colorado

Profile Details

NPI number 1114360054
LBN Legal business name Khaki, Farbod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated Feb 23rd, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114360054 NPPES
Arizona MEDICAID 370326

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