MEDICARE: DR. FARIBA GHARAI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME94805	FL
2	208600000X	Surgery Physician	38145	KY
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	C55954	CA
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	ME94805	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00671276	OTHER	FL	MEDICARE RAILROAD
4	P00671276	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003812348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARIBA GHARAI M.D.

Provider Business Mailing Address
First Line	:	3828 SCHAUFELE AVE STE 340
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1793
Country	:	US
Telephone Number	:	657-241-9051
Fax Number	:	714-665-4602

Provider Business Practice Location Address
First Line	:	3828 SCHAUFELE AVE STE 340
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1793
Country	:	US
Telephone Number	:	657-241-9051
Fax Number	:	714-665-4602

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	04/11/2023

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Directions to “ DR. FARIBA GHARAI M.D.” Practice Location

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