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Individual

HASSAN FARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 N KEENE ST, STE 207, COLUMBIA, MO 65201-8105
(573) 219-3960
(573) 219-3964
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
2014008648
MO
2080P0202X
Pediatric Cardiology Physician
MD0000055812
TN

Other

Enumeration date
06/08/2013
Last updated
08/07/2023
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