Individual
MINA FARAHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 STANIFORD ST STE 600, BOSTON, MA 02114-2587
(617) 367-4800
(617) 723-7028
Mailing address
50 STANIFORD ST STE 600, BOSTON, MA 02114-2587
(617) 367-4800
(617) 723-7028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
154995
CA
207W00000X
Ophthalmology Physician
Primary
279073
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2014
Last updated
12/23/2021
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