MEDICARE: FARHAN MUNSHI 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	083254	CT
2	207R00000X	Internal Medicine Physician	MT205140	PA
3	207RC0000X	Cardiovascular Disease Physician	FM0998798	PA
4	207RC0000X	Cardiovascular Disease Physician	MD459734	PA

General Provider Information

NPI Number	:	1629410774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARHAN MUNSHI M.D.

Provider Business Mailing Address
First Line	:	1666 CALLOWHILL ST
Second Line	:	APT# 113
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-4117
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 N 15TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-1101
Country	:	US
Telephone Number	:	215-762-1966
Fax Number	:

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

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	01/19/2026

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