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NPI Code Detail

MEDICARE: FARID SAHEB MD

MEDICARE: FARID SAHEB 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
1207RN0300XNephrology Physician036046314IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2036046314OTHERILLICENSE #
301606335OTHERILBCBS PROVIDER #

General Provider Information

NPI Number : 1134188287
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARID SAHEB MD
Provider Business Mailing Address
First Line : 44 BRADFORD LN
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-2322
Country : US
Telephone Number : 312-910-3588
Fax Number :
Provider Business Practice Location Address
First Line : 4900 N CUMBERLAND AVE
Second Line :
City : NORRIDGE
State : IL
Zip : 60706-2916
Country : US
Telephone Number : 312-910-3588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2006
Last Update Date : 09/19/2011

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