Khan, Mohammad Farrukh

Khan, Mohammad Farrukh is an individual health care provider with primary practice located at 1585 3Rd St , Fort Polk LA 71459-5102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Khan, Mohammad Farrukh can be contacted via phone (337) 653-2373.

Contact Information

Primary practice address
1585 3Rd St Fort Polk LA 71459-5102
Phone: (337) 653-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD029897 Pennsylvania

Profile Details

NPI number 1730179276
LBN Legal business name Khan, Mohammad Farrukh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 11th, 2022 - 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 1730179276 NPPES
Pennsylvania Other 30021732 KEYSTONE MERCY
Pennsylvania MEDICAID 1011920410001 KEYSTONE MERCY
Pennsylvania Other 7542074 KEYSTONE MERCY
Pennsylvania Other 01884714 KEYSTONE MERCY
Pennsylvania Other 2357937000 KEYSTONE MERCY
Pennsylvania Other 1064610 KEYSTONE MERCY

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