Individual
DR. BASSAM FARAH
Active
Individual
DR. BASSAM FARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054538
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010083371
—
VA
01
—
116347
ANTHEM
VA
01
—
1205852
FIRST HEALTH
—
01
—
1620011
CIGNA
—
01
—
2125305
ALLIANCE
—
01
—
5244538
AETNA PPO
—
01
—
J7160001
CAREFIRST
—
Enumeration date
08/15/2006
Last updated
04/07/2014
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