Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 233204 | MA |
N | 111NI0900X | Internist | 233204 | MA |
N | 207RC0200X | Critical Care Medicine | 233204 | MA |
Y | 207RP1001X | Pulmonary Disease | 233204 | MA |
NPI | 1083735435 |
---|---|
Provider Name | Maha Reda Farhat |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 22/07/2011 |