Individual
FARAH AHMAD-STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1315 WALNUT ST STE 1708, PHILADELPHIA, PA 19107-4717
(267) 930-2813
Mailing address
PO BOX 22387, PHILADELPHIA, PA 19110-2387
(267) 930-2813
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD464479
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2012
Last updated
06/26/2020
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