Healthcare Provider Details

I. General information

NPI: 1518141209
Provider Name (Legal Business Name): FARAH REHMAN LOKEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 01/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S VAL VISTA DR
GILBERT AZ
85296
US

IV. Provider business mailing address

120 S VAL VISTA DR
GILBERT AZ
85296-1370
US

V. Phone/Fax

Practice location:
  • Phone: 602-933-5060
  • Fax: 480-659-9021
Mailing address:
  • Phone: 602-933-5060
  • Fax: 480-659-9021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number40350
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: