Individual
BRIAN ANDREW FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103-6951
(336) 718-3550
(336) 277-1825
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-3550
(336) 277-1825
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34308
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118421-000
MAGELLAN BH
NC
01
—
28991
CIGNA
NC
01
—
31135
BLUE CROSS/BLUE SHIELD
NC
05
—
8931135
—
NC
01
—
B0677
MEDCOST
NC
Enumeration date
07/02/2006
Last updated
10/22/2021
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