DR. FAREEHA I KHAN (NPI# 1609879303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609879303 |
| Entity Type | Individual |
| Full Name | DR. FAREEHA I KHAN |
| Credential | MD |
| Practice Address |
2826 Old Lee Hwy Suite 100 Fairfax VA 22031 |
| Practice Telephone | 7035601075 |
| Practice Fax Number | 7035601076 |
| Mailing Telephone | 7035601075 |
| Mailing Fax Number | 7035601076 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-06-18 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101055045 | VA | Other Service Providers |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101055045 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RR MEDICARE | P00094786 | 01 |
| VA | 010034736 | 05 | |
| VA | AETNA HMO | 3304254 | 01 |
| VA | MAMSI | 2128312 | 01 |
| VA | ANTHEM | 267155 | 01 |
| VA | AETNA PPO | 7489487 | 01 |
| VA | CAREFIRST BCBS | J093 0001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1982960852 | Fareeha Khan | Family Medicine | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2012-04-05 |
| Street Address |
2826 OLD LEE HWY SUITE 100 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013308808 | Elizabeth Ann Myers | Physician Assistant | 2826 Old Lee Hwy, Suite #330, Fairfax, VA 22031-4323 | 2015-02-15 |
| 1942691019 | Nova Reconstructive Surgery LLC | Plastic Surgery | 2826 Old Lee Hwy, Ste 330, Fairfax, VA 22031-4323 | 2015-02-11 |
| 1205242419 | Megan Condrey | Physician Assistant | 2826 Old Lee Hwy, Ste. 330, Fairfax, VA 22031-4323 | 2014-07-08 |
| 1306189816 | Nassar F Khan Md PC | Specialist | 2826 Old Lee Hwy, Suite # 110, Fairfax, VA 22031-4323 | 2013-04-03 |
| 1649573205 | Jay Daniel Ryan | Podiatrist | 2826 Old Lee Hwy, Suite 220, Fairfax, VA 22031-4323 | 2010-12-20 |
| 1285940502 | Mahadevappa Hunasikatti Md PC | Internal Medicine | 2826 Old Lee Hwy, Suite 330, Fairfax, VA 22031-4323 | 2010-08-24 |
| 1750695896 | Plastic Surgery Consultants, LLC | Plastic Surgery | 2826 Old Lee Hwy, Suite 330, Fairfax, VA 22031-4323 | 2010-07-30 |
| 1073757662 | Active Medical Care, Inc. | Specialist | 2826 Old Lee Hwy, Ste 330, Fairfax, VA 22031-4323 | 2009-04-27 |
| 1003074113 | Greater Washington Plastic Surgery Associates, LLC | Plastic Surgery | 2826 Old Lee Hwy, Suite 330, Fairfax, VA 22031 | 2008-05-26 |
| 1316139157 | Fareeha I Khan, Md PC | Specialist | 2826 Old Lee Hwy, Suite 100, Fairfax, VA 22031-4323 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841748829 | Katherine Thompson | Specialist | 3525 Mclean Ave, Fairfax, VA 22030-3007 | 2016-09-19 |
| 1932574019 | Tracie Reyes | Specialist | 11240 Waples Mill Rd Ste 100, Fairfax, VA 22030-6078 | 2015-12-01 |
| 1669845236 | Lauren Washington | Specialist | 11240 Waples Mill Rd Ste 301, Fairfax, VA 22030-6078 | 2015-11-04 |
| 1457746513 | Stephanie Bolger | Specialist | 10700 Zion Dr, Fairfax, VA 22032-3432 | 2015-04-05 |
| 1588066096 | Erin Stephenson | Specialist | 12881 Fair Valley Ct, Fairfax, VA 22033-3816 | 2014-09-16 |
| 1609114081 | Rachel Fannell Eisenfeld | Specialist | 10660 Page Ave, Fairfax, VA 22030-4098 | 2013-01-20 |
| 1043563422 | Maryann G Rozzell | Specialist | 3422 Barkley Dr, Fairfax, VA 22031-2724 | 2012-10-22 |
| 1861776551 | Wilbert Aguila | Specialist | 12678 Marcum Ct, Fairfax, VA 22033-2457 | 2011-09-29 |
| 1558692681 | Jacquelyn Lewis | Specialist | 1193 Ethan Allen Hwy, Fairfax, VT 05454-5433 | 2010-01-29 |
| 1861679896 | Linda O'toole Glick | Specialist | 11106 Del Rio Dr, Fairfax, VA 22030-5339 | 2008-01-22 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.