MEDICARE: RAMIN FARZANEH-FAR 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	207RC0000X	Cardiovascular Disease Physician	N9544	TX

General Provider Information

NPI Number	:	1518904556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMIN FARZANEH-FAR M.D.

Provider Business Mailing Address
First Line	:	UT SOUTHWESTERN MEDICAL CTR
Second Line	:	5323 HARRY HINES BOULEVARD
City	:	DALLAS
State	:	TX
Zip	:	75390-9047
Country	:	US
Telephone Number	:	214-645-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	UT SOUTHWESTERN MEDICAL CTR
Second Line	:	5323 HARRY HINES BOULEVARD
City	:	DALLAS
State	:	TX
Zip	:	75390-0001
Country	:	US
Telephone Number	:	214-645-7500
Fax Number	:

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	08/29/2011

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