Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | UO1205 | FL |
N | 111NI0900X | Internist | UO1205 | FL |
Y | 207RA0401X | Internist - Addiction Medicine | 20A10100 | CA |
NPI | 1164503330 |
---|---|
Provider Name | Dr. Farah Karim Ahamed |
First Address | Rancho Palos Verdes, CA 90275 |
Second Address | Torrance, CA 90501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RES000 | (02) | FL |