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Individual

FARROKH R FARROKHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY, MS:M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
(206) 515-5886

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD00044980
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039591
L&I
WA
01
1100FA
INDIVIDUAL BLUE SHIELD
WA
01
1154371276
MONTANA MEDICAID
WA
05
8424715
WA
01
US7139684
AETNA
WA
Enumeration date
05/11/2006
Last updated
09/12/2013
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