Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Farah Khan, MD

Individual provider Family Medicine Physician · NPI 1508153867

Farah Khan, MD is a Family Practice in Deforest, Wisconsin. Qualified in 2004, 22 years ago. Practices with Meriter Hospital Inc, a 123-clinician group and accepts Medicare assignment. Licensed in North Carolina, Texas and Wisconsin.

Years since qualifying
22
Licensed in
NC, TX, WI
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4200 Savannah Dr
Deforest, WI 53532-2909
Phone: (608) 417-3300
Fax: (608) 417-3333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 65053 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2014-00863 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence P4068 (TX)

Record details

NPI number1508153867
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESMarch 15, 2016
Mailing address202 S Park St, Madison, WI 53715-1507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Meriter Hospital Inc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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