Healthcare Provider Details

I. General information

NPI: 1831259423
Provider Name (Legal Business Name): NOOSHIN F FARR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10605 CONCORD ST
KENSINGTON MD
20895-2504
US

IV. Provider business mailing address

1500 FOREST GLEN RD
SILVER SPRING MD
20910-1460
US

V. Phone/Fax

Practice location:
  • Phone: 301-949-4242
  • Fax: 301-949-8041
Mailing address:
  • Phone: 301-754-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD15906
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD32247
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: