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General NPI Number Information
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NPI Number | 1962072819
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Entity Type | Organization
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Legal Business Name | TELE-RHEUMATOLOGY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 40 PENNY LN STE 207B
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City | WATSONVILLE
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State | CA
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Zip | 95076-6057
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Country | US
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Telephone | 831-204-7787
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Fax | 831-480-1328
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Provider Business Mailing Address
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Address Line | 3790 EL CAMINO REAL # 564
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City | PALO ALTO
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State | CA
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Zip | 94306
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Country | US
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Telephone | 831-215-4040
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Fax | 831-480-1328
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Authorized Official
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Title or Position | PRESIDENT
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Name | FARAH F SALAHUDDIN
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Credential | MD
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Telephone | 831-204-7787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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