Individual
KEYHAN FARKHONDEPAY-ARYAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD17703
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041389
—
OR
01
—
180018630
RAILROAD MEDICARE
—
01
—
180039025
MEDICARE RR
—
01
—
180039026
MEDICARE, RR
—
Enumeration date
07/12/2005
Last updated
08/04/2010
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