# DR.SAMIR FARAH MD,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720112139
- **Authorized official:** MS. MARCIA M JACOBSON (BILLING MANAGER)
- **Authorized official phone:** (218) 362-6761

## Contact information

- **Practice address:** 20 BURDICK EXPY W, MINOT, ND 58701-4498
- **Practice address phone:** (701) 852-5236
- **Mailing address:** 750 E 34TH ST, HIBBING, MN 55746-2341
- **Mailing address phone:** (218) 362-6683
- **Mailing address fax:** (218) 362-6684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 3820 | ND | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 04/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10322 | — | ND |
| 01 | — | 1150001 | BLUE CROSS BLUE SHIELD | ND |
| 01 | — | DG6885 | RAILROAD MEDICARE | ND |