Healthcare Provider Details

I. General information

NPI: 1588784482
Provider Name (Legal Business Name): RAYMOND SOBHI FARHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 12/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 JAHNKE RD
RICHMOND VA
23225-4017
US

IV. Provider business mailing address

3212 LADY MARIAN LN
MIDLOTHIAN VA
23113-1178
US

V. Phone/Fax

Practice location:
  • Phone: 804-323-8446
  • Fax:
Mailing address:
  • Phone: 804-323-6811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number0101039528
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number0101039528
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: