MEDICARE: FARHAD M LIMONADI MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	A92257	CA

General Provider Information

NPI Number	:	1053302653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARHAD M LIMONADI MD INC

Provider Business Mailing Address
First Line	:	PO BOX 725
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-0725
Country	:	US
Telephone Number	:	760-895-0639
Fax Number	:	760-423-6339

Provider Business Practice Location Address
First Line	:	72780 COUNTRY CLUB DR STE A104
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-4150
Country	:	US
Telephone Number	:	760-895-0639
Fax Number	:	760-423-6339

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FARHAD M LIMONADI
Credential	:	MD
Telephone Number	:	760-837-8020

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	06/28/2024

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