Individual
REZA S FARID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 W BUSINESS LOOP 70, COLUMBIA, MO 65203-3248
(573) 884-0033
(573) 884-0055
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
110906
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104665
BLUE SHIELD/BLUE CHOICE
MO
05
—
205205909
—
MO
01
—
2087226901
KANSAS MEDICAID
MO
01
—
2300073
UNITED HEALTHCARE
MO
01
—
294836
HEALTHLINK
MO
Enumeration date
07/01/2006
Last updated
09/14/2022
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