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Faraz Khan, M.D.

Radiology, Diagnostic Radiology in Eden Prairie, MN. Individual provider (NPI-1).

NPI number1790776771
StatusActive
Last updated in NPPESFeb 22, 2022

Details

NPI
1790776771
Entity type
Individual (NPI-1)
Name
Faraz Khan
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 31, 2005
Certification date
Feb 22, 2022
Last updated
Feb 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyL3715TXYes
2085R0204X Radiology, Vascular & Interventional RadiologyL3715TX

Practice location

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Phone 952-595-1301 · Fax 612-294-4903

Mailing address

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Phone 952-595-1301 · Fax 612-294-4903

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