Farid Frederick Manshadi
Physical Medicine & Rehabilitation Doctor
36 W Park Ln
Waterloo
, Iowa 50701-5178
Farid Frederick Manshadi
Physical Medicine & Rehabilitation Doctor
36 W Park Ln
Waterloo
, Iowa 50701-5178
(319) 234-0109
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Farid Frederick Manshadi
- 36 W Park Ln
- Waterloo, IA
- Zip : 50701-5178
- Phone : (319) 234-0109
Second Address
- Farid Frederick Manshadi
- 36 W Park Ln
- Waterloo, IA
- Zip : 50701-5178
- Phone : (319) 234-0109
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 27493 | IA |
National Provider Identifier
| NPI | 1033197165 |
|---|---|
| Provider Name | Farid Frederick Manshadi |
| First Address | Waterloo, IA 50701-5178 |
| Second Address | Waterloo, IA 50701-5178 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2006 |
| Last Update Date | 11/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0298216 | (05) | IA |
| 044982 | BC/BS (01) | IA |
| 250004438 | RR MEDICARE (01) | IA |
| 42137207602 | JOHN DEERE (01) | IA |
| A006219 | CHAMPUS (01) | IA |
| E73930 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.