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NPI Code Detail

MEDICARE: FARHOOD FARAHMAND MD

MEDICARE:   FARHOOD  FARAHMAND  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
1207Q00000XFamily Medicine Physician4301101062MI
2207Q00000XFamily Medicine PhysicianMD60557065WA

Other Identifiers

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

General Provider Information

NPI Number : 1275897647
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARHOOD FARAHMAND MD
Provider Business Mailing Address
First Line : 4550 FAUNTLEROY WAY SW
Second Line :
City : SEATTLE
State : WA
Zip : 98126-3471
Country : US
Telephone Number : 206-931-1040
Fax Number : 253-750-6100
Provider Business Practice Location Address
First Line : 4550 FAUNTLEROY WAY SW
Second Line :
City : SEATTLE
State : WA
Zip : 98126-3471
Country : US
Telephone Number : 206-931-1040
Fax Number : 253-750-6100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2012
Last Update Date : 11/22/2021

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Directions to “ FARHOOD FARAHMAND MD” Practice Location

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