Individual
FIRAS A FARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Mailing address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40926
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01G81FA
BCBS MPIN
MN
01
—
125700
UCARE
MN
05
—
1512095
—
IA
01
—
160038536
RR MEDICARE
MN
05
—
895018100
—
MN
Enumeration date
10/04/2006
Last updated
04/01/2013
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