Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 38145 | KY |
N | 208600000X | Surgeon | 38145 | KY |
N | 208200000X | Surgeon | ME94805 | FL |
N | 208600000X | Surgeon | ME94805 | FL |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | C55954 | CA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | ME94805 | FL |
NPI | 1003812348 |
---|---|
Provider Name | Dr. Fariba Gharai |
First Address | Long Beach, CA 90808-1793 |
Second Address | Long Beach, CA 90808-1793 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 29/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000147700 | (05) | FL |
C55954 | (05) | CA |
P00671276 | MEDICARE RAILROAD (01) | FL |
P00671276 | RAILROAD MEDICARE (01) | FL |