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Individual
MARYAM FARAZHA
Active
Individual
MARYAM FARAZHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A101291
CA
207Q00000X
Family Medicine Physician
D0060512
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64147501
CAREFIRST BC/BS OF MD
MD
01
—
8127890
MAMSI
MD
01
—
K249 0002
CAREFIRST BLUE CHOICE
MD
Enumeration date
06/09/2005
Last updated
03/31/2021
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