Active NPI
Farah N Khan, M.D.
- Plastic and Reconstructive Surgery Physician
- Dallas, TX
National Provider Identifier
1336338367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- P0744
- Practice address
- 2801 Lemmon Ave
300
Dallas, TX 75204-2356 - Phone
- (214) 220-2712
- Fax
- (214) 969-0933
- NPI assigned
- Oct 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | P0744 | TX | Primary |
Addresses
Primary practice location
2801 Lemmon Ave
300
Dallas, TX 75204-2356
Mailing address
2801 Lemmon Ave
300
Dallas, TX 75204-2356
Phone (214) 220-2712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 10, 2016 through Nov 10, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0744 | TX | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1336338367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 LEMMON AVE",
"address_2": "300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042356",
"telephone_number": "214-220-2712",
"fax_number": "214-969-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 LEMMON AVE",
"address_2": "300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042356",
"telephone_number": "214-220-2712",
"fax_number": "214-969-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "FARAH",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "P0744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.