MEDICARE: FARHAD M LIMONADI MD

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	:	1154386399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARHAD M LIMONADI MD

Provider Business Mailing 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

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	06/28/2024

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