Khan, Fareeha I

Khan, Fareeha I is an sole proprietor health care provider with primary practice located at 1900 Gallows Rd Ste 100 , Vienna VA 22182-3886. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Other Service Providers / Specialist is her primary health care specialty. Khan, Fareeha I can be contacted via phone (703) 560-1075.

Contact Information

Primary practice address
1900 Gallows Rd Ste 100 Vienna VA 22182-3886
Phone: (703) 560-1075
Fax: (703) 560-1076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101055045 Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101055045 Virginia

Profile Details

NPI number 1609879303
LBN Legal business name Khan, Fareeha I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Nov 8th, 2021 - about 3 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 1609879303 NPPES
Virginia Other 7489487 AETNA PPO
Virginia Other P00094786 AETNA PPO
Virginia Other 267155 AETNA PPO
Virginia MEDICAID 010034736 AETNA PPO
Virginia Other 2128312 AETNA PPO
Virginia Other 3304254 AETNA PPO
Virginia Other J093 0001 AETNA PPO

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