Fahim Khorfan, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

FK062310 Issued in MI

Practice address

1513 S Center Rd
Burton, MI 48509-1728

Phone

(810) 742-0224

Fax

(810) 742-8768

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fkhorfan1134637@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid Michigan Diagnostic Corp

  • Diagnostic Radiology Physician
  • Burton, MI
  • NPI 1093962342
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1497867931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 S. SAGINAW ST",
            "address_2": "STE 800",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391890",
            "telephone_number": "810-695-5864",
            "fax_number": "810-695-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091728",
            "telephone_number": "810-742-0224",
            "fax_number": "810-742-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORFAN",
        "first_name": "FAHIM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301062310",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "FK062310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2979742",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Kennedy
• Ronald Mark Kesemeyer, RPH
• Zaina Khal
• Khaled M Shukairy MD PC
• Fatima Khan, DDS
• Rajeshkumar Chhaganlal Khunt, PHARMACIST
• James Sterling Kimball, RPH
• Jannifer A Kincaid, OTR/L
• Tamara Denise Knuckles
• Whitney Rayne Kononchuk

• Pulmonary Disease Physician in Burton, MI
• Providers in Burton, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.