Individual
FARZAN ESKANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 W 32ND ST STE B101, JOPLIN, MO 64804-1515
(417) 623-6330
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(417) 623-6330
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2015022432
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366685794
—
MO
05
—
200598970A
—
OK
05
—
201119500A
—
KS
01
—
P01513925
RAIL ROAD MEDICARE
MO
Enumeration date
04/15/2009
Last updated
03/17/2018
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