Individual
KHASHAYAR FARZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 HAWKINS DR, DEPARTMENT OF FAMILY MEDICINE, IOWA CITY, IA 52242
(319) 384-7222
Mailing address
200 HAWKINS DR, DEPARTMENT OF FAMILY MEDICINE, IOWA CITY, IA 52242
(319) 384-7222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-11496
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123917
—
IA
01
—
R-11496
BOARD OF MEDICINE
IA
Enumeration date
04/05/2019
Last updated
03/09/2020
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