Individual
FARHAD K SHOKOOHI
Active
Individual
FARHAD K SHOKOOHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301040619
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0467800001
ADMINASTAR
—
01
—
0467800002
ADMINASTAR
—
01
—
0467800004
ADMINASTAR
—
01
—
0467800005
ADMINASTAR
—
01
—
0467800006
ADMINASTAR
—
05
—
1359493
—
MI
01
—
180G300890
BLUE CARE NETWORK
MI
05
—
2622510
—
MI
01
—
4301040619
LICENSE NUMBER
MI
01
—
CA3610
RAILROAD MEDICARE
MI
Enumeration date
08/26/2005
Last updated
09/18/2023
Update your record
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