Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 0101265005 | VA |
N | 207N00000X | Dermatologist | 036.143388 | IL |
N | 207N00000X | Dermatologist | MD046451 | DC |
Y | 207ND0101X | MOHS-Micrographic Surgeon | MD046451 | DC |
N | 207ND0900X | Dermatopathologist | MD046451 | DC |
N | 207NS0135X | Procedural Dermatology | MD046451 | DC |
NPI | 1063855286 |
---|---|
Provider Name | Dr. Farhaad Rahman Riyaz |
First Address | Washington, DC 20036-3718 |
Second Address | Washington, DC 20036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 05/03/2019 |