# DR. FARHAD B. IMAM

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

## Provider details

- **NPI number:** 1942405469
- **Gender:** Man
- **Credential:** MD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 234471 | MA | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | A124605 | CA | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | L-221883 | MA | — |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 02/27/2013