MEDICARE: MAHER FARAH 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	208M00000X	Hospitalist Physician	22724	AL
2	208M00000X	Hospitalist Physician	14373	NV

General Provider Information

NPI Number	:	1558442194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHER FARAH MD

Provider Business Mailing Address
First Line	:	9533 FENDALL HALL CIR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-8519
Country	:	US
Telephone Number	:	334-202-7258
Fax Number	:	334-283-3758

Provider Business Practice Location Address
First Line	:	805 FRIENDSHIP RD
Second Line	:
City	:	TALLASSEE
State	:	AL
Zip	:	36078-1234
Country	:	US
Telephone Number	:	334-283-3753
Fax Number	:	334-283-3758

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	02/01/2013

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Directions to “ MAHER FARAH MD” Practice Location

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