Individual
FARHAD B NOWZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A71464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203177408
TAX ID
CA
01
—
DG3479
MCRR GROUP PTAN
CA
01
—
P00728133
MEDICARE RR
CA
Enumeration date
07/23/2006
Last updated
09/27/2016
Update your record
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