Basic Information
Provider Information
NPI: 1326051343
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QURATUL AIN
FirstName: FARHANA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10540 MARTY ST
Address2: SUITE 100
City: OVERLAND PARK
State: KS
PostalCode: 662122551
CountryCode: US
TelephoneNumber: 9136601616
FaxNumber:  
Practice Location
Address1: 10500 QUIVIRA RD
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662152306
CountryCode: US
TelephoneNumber: 9135415000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/14/2006
LastUpdateDate: 08/29/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X04-31934KSY Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X2006026293MON Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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