MEDICARE: FARHIYA IMAN

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1952176141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARHIYA IMAN

Provider Business Mailing Address
First Line	:	720 8TH AVE N
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56303-3420
Country	:	US
Telephone Number	:	320-260-6718
Fax Number	:

Provider Business Practice Location Address
First Line	:	3845 BEAR RIDGE AVE S
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-6244
Country	:	US
Telephone Number	:	320-260-6718
Fax Number	:

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

Provider Enumeration Date	:	11/17/2023
Last Update Date	:	01/21/2026

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Directions to “ FARHIYA IMAN ” Practice Location

Language	Start Address	Practice Location

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