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NPI Code Detail

MEDICARE: KINAAN BIN FARHAN M.D

MEDICARE: KINAAN BIN FARHAN 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
1208000000XPediatrics Physician75869AZ
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598499147
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINAAN BIN FARHAN M.D
Provider Business Mailing Address
First Line : 2060 W 24TH ST
Second Line :
City : YUMA
State : AZ
Zip : 85364-6123
Country : US
Telephone Number : 928-819-8999
Fax Number :
Provider Business Practice Location Address
First Line : 2060 W 24TH ST
Second Line :
City : YUMA
State : AZ
Zip : 85364-6123
Country : US
Telephone Number : 928-819-8999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 06/03/2026

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Directions to “ KINAAN BIN FARHAN M.D” Practice Location

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