Provider Demographics
NPI:1538847793
Name:KHURSHID, FARWA (MD)
Entity type:Individual
Prefix:
First Name:FARWA
Middle Name:
Last Name:KHURSHID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 E MICHIGAN AVE UNIT 210
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3049
Mailing Address - Country:US
Mailing Address - Phone:248-787-1947
Mailing Address - Fax:
Practice Address - Street 1:SPARROW HEALTH SYSTEM
Practice Address - Street 2:1215 E MICHIGAN AVENUE
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48909
Practice Address - Country:US
Practice Address - Phone:517-364-2157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351050967208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics