Individual
FARAMARZ FRED HIDAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6252 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 754-3937
(901) 680-7771
Mailing address
6252 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 754-3937
(901) 680-7771
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000034186
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119315
—
TN
05
—
158706001
—
AR
05
—
3854721
—
TN
05
—
3854724
—
TN
Enumeration date
10/17/2005
Last updated
07/24/2007
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