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NPI Code Detail

MEDICARE: FARHANA KADERIN

MEDICARE:   FARHANA  KADERIN
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
12084P0800XPsychiatry Physician074510GA

General Provider Information

NPI Number : 1831531227
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARHANA KADERIN
Provider Business Mailing Address
First Line : 2279 SEVER RD
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30043-4028
Country : US
Telephone Number : 732-516-8019
Fax Number :
Provider Business Practice Location Address
First Line : 709 BREEDLOVE DR
Second Line :
City : MONROE
State : GA
Zip : 30655-2055
Country : US
Telephone Number : 732-516-8019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2013
Last Update Date : 04/06/2020

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Directions to “ FARHANA KADERIN ” Practice Location

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