MEDICARE: FARINAZ FARRAHI 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	207K00000X	Allergy & Immunology Physician	A95425	CA
2	207R00000X	Internal Medicine Physician	A95425	CA
3	207K00000X	Allergy & Immunology Physician	49170	AZ
4	207R00000X	Internal Medicine Physician	49170	AZ

General Provider Information

NPI Number	:	1174661227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARINAZ FARRAHI MD

Provider Business Mailing Address
First Line	:	3448 MOWRY AVE
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-1422
Country	:	US
Telephone Number	:	510-373-3000
Fax Number	:	510-744-9959

Provider Business Practice Location Address
First Line	:	13847 E 14TH STREET STE 112
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2625
Country	:	US
Telephone Number	:	510-352-8535
Fax Number	:	510-352-8644

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	11/08/2019

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Directions to “ FARINAZ FARRAHI MD” Practice Location

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