=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518192632
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FARAH FATIMA SALAHUDDIN MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/19/2009
-----------------------------------------------------
Last Update Date | 07/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 40 PENNY LN STE 207B
-----------------------------------------------------
City | WATSONVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95076-6057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-204-7787
-----------------------------------------------------
Fax | 831-480-1328
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 50 E HAMILTON AVE STE 200
-----------------------------------------------------
City | CAMPBELL
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95008-0251
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-866-1135
-----------------------------------------------------
Fax | 408-866-7926
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | A119821
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | A119821
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------