Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 36980 | TN |
Y | 2080P0207X | Pediatric Hematology-Oncologist | C145696 | CA |
NPI | 1144223926 |
---|---|
Provider Name | Dr. Fariba Navid |
First Address | Los Angeles, CA 90010-2804 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 03/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00126768 | (05) | MS |
0030988 | (05) | NJ |
009907875 | (05) | AL |
010092931 | (05) | VA |
0569723 | (05) | IA |
0879723 | (05) | OH |
100508087 | (05) | NV |
104677740 | (05) | MI |
1140899 | (05) | LA |
148329001 | (05) | AR |
168488802 | (05) | TX |
200000440A | (05) | OK |
200402850A | (05) | IN |
205962103 | (05) | MO |
3496570 | (05) | TN |
422400000 | (05) | ME |
64059389 | (05) | KY |
F30318 | (02) | TN |