# REZA S FARID

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528097722
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 110906 | MO | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 09/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 104665 | BLUE SHIELD/BLUE CHOICE | MO |
| 05 | — | 205205909 | — | MO |
| 01 | — | 2087226901 | KANSAS MEDICAID | MO |
| 01 | — | 2300073 | UNITED HEALTHCARE | MO |
| 01 | — | 294836 | HEALTHLINK | MO |