Individual
DR. HUMAM W FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3766
(573) 231-3827
Mailing address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3766
(573) 231-3827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MO111211
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
111211
MO
207RP1001X
Pulmonary Disease Physician
Primary
111211
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
111211
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204659908
—
MO
01
—
833120
MEDICARE GROUP #
—
01
—
IL2613
MEDICARE GROUP #
—
Enumeration date
06/15/2006
Last updated
02/14/2021
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