Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 49170 | AZ |
Y | 207K00000X | Allergist & Immunologist | A95425 | CA |
N | 207R00000X | Internist | 49170 | AZ |
N | 111NI0900X | Internist | 49170 | AZ |
N | 207R00000X | Internist | A95425 | CA |
N | 111NI0900X | Internist | A95425 | CA |
NPI | 1174661227 |
---|---|
Provider Name | Farinaz Farrahi |
First Address | Fremont, CA 94538-1422 |
Second Address | San Leandro, CA 94578-2625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 08/11/2019 |