Provider Demographics
NPI:1154957405
Name:KHAN, HANNAH FAREEN
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:FAREEN
Last Name:KHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 LAKEWOOD RANCH BLVD UNIT 408
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5270
Mailing Address - Country:US
Mailing Address - Phone:248-974-5747
Mailing Address - Fax:
Practice Address - Street 1:8220 LAKEWOOD RANCH BLVD UNIT 408
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5270
Practice Address - Country:US
Practice Address - Phone:248-974-5747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-18
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSA36488390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program