Provider Demographics
NPI:1174731095
Name:KHAN, FAHD RAHMAN (MD)
Entity type:Individual
Prefix:DR
First Name:FAHD
Middle Name:RAHMAN
Last Name:KHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2550 SAMARITAN DR
Mailing Address - Street 2:STE D
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4104
Mailing Address - Country:US
Mailing Address - Phone:408-540-6861
Mailing Address - Fax:408-540-6865
Practice Address - Street 1:2550 SAMARITAN DR
Practice Address - Street 2:STE D
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4104
Practice Address - Country:US
Practice Address - Phone:408-540-6861
Practice Address - Fax:408-540-6865
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2016-01-04
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Provider Licenses
StateLicense IDTaxonomies
OH57.008784207T00000X
CAA114240207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery