Healthcare Provider Details

I. General information

NPI: 1700913464
Provider Name (Legal Business Name): PARASTOO FARHADY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CCHS DEPT OF OB GYN 4755 OGLETOWN STANTON RD
NEWARK DE
19718-0001
US

IV. Provider business mailing address

1403 SHALLCROSS AVE APT 304
WILMINGTON DE
19806-3039
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-6565
  • Fax:
Mailing address:
  • Phone: 302-654-4495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License NumberC70003245
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: