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Individual
FARAH ALMUDHAFAR
Active
Individual
FARAH ALMUDHAFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A130949
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07595929
ECFMG NUMBER
—
01
—
A130949
CA MEDICAL BOARD LICENSE
CA
Enumeration date
06/22/2011
Last updated
07/02/2014
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