Active NPI
Farzana Rahman Khan, M.D.
- Primary Care Clinic/Center
- Winter Park, FL
National Provider Identifier
1447330592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME 64960
- Practice address
- 201 N Lakemont Ave Ste 500
Winter Park, FL 32792-3200 - Phone
- (407) 644-7400
- Fax
- (407) 644-2970
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME 64960 | FL | Primary |
Addresses
Primary practice location
201 N Lakemont Ave Ste 500
Winter Park, FL 32792-3200
Mailing address
201 N Lakemont Ave Ste 500
Winter Park, FL 32792-3200
Phone (407) 644-7400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7256498003 | Other | FL | CIGNA |
| 7628211 | Other | FL | AETNA |
| 1201344 | Other | FL | UNITED HEALTHCARE |
| 219821 | Medicaid | FL | |
| 28481 | Other | FL | BCBS |
| 189678 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 64960 | FL | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447330592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N LAKEMONT AVE STE 500",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923200",
"telephone_number": "407-644-7400",
"fax_number": "407-644-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N LAKEMONT AVE STE 500",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923200",
"telephone_number": "407-644-7400",
"fax_number": "407-644-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "FARZANA",
"middle_name": "RAHMAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME 64960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7256498003",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7628211",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1201344",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219821",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "28481",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189678",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.