MEDICARE: FARAH K GALAYDH MD

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	207W00000X	Ophthalmology Physician	ME89546	FL

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

General Provider Information

NPI Number	:	1073584546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAH K GALAYDH MD

Provider Business Mailing Address
First Line	:	PO BOX 621736
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32762-1736
Country	:	US
Telephone Number	:	407-365-7322
Fax Number	:

Provider Business Practice Location Address
First Line	:	2572 W STATE ROAD 426
Second Line	:	SUITE 3008
City	:	OVIEDO
State	:	FL
Zip	:	32765-8389
Country	:	US
Telephone Number	:	407-365-7322
Fax Number	:

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	04/16/2017

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