Organization
FARIDA FARZANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIDA FARZANA MD (PRESIDENT)
(314) 644-3447
Entity
Organization
Contact information
Practice address
3115 HAMPTON AVE, SAINT LOUIS, MO 63139-2303
(314) 644-3447
Mailing address
3115 HAMPTON AVE, SAINT LOUIS, MO 63139-2303
(314) 644-3447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R6817
MO
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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