Khan, Faraz Ali

Khan, Faraz Ali is an individual health care provider with primary practice located at 1801 Robert Fulton Drive, Suite 510 , Reston VA 20191-5481. 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 / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Khan, Faraz Ali can be contacted via phone (703) 783-5355.

Contact Information

Primary practice address
1801 Robert Fulton Drive, Suite 510 Reston VA 20191-5481
Phone: (703) 783-5355
Fax: (703) 348-6376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 64033 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 0101281315 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101281315 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1770087850
LBN Legal business name Khan, Faraz Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2018
Last updated Jun 3rd, 2024 - about 6 months 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 1770087850 NPPES
Virginia MEDICAID 30017802410001
Virginia MEDICAID 1770087850

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