Individual
FARAH NASRATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10710 N TORREY PINES RD, LA JOLLA, CA 92037-1035
(858) 554-8788
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4649604
IL
207RH0003X
Hematology & Oncology Physician
Primary
A155961
CA
Other
Enumeration date
03/31/2014
Last updated
01/19/2021
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