Healthcare Provider Details

I. General information

NPI: 1093392755
Provider Name (Legal Business Name): RICHARD AUSTIN FARNETH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SYCAMORE DR SE
WASHINGTON DC
20032-5956
US

IV. Provider business mailing address

1201 SYCAMORE DR SE
WASHINGTON DC
20032-5956
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-7000
  • Fax:
Mailing address:
  • Phone: 202-745-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD600001840
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0101283759
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: