Individual
FARHAD FAROKHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
444 ROXBURY RD, ROCKFORD, IL 61107-5059
(815) 398-3000
(815) 398-3041
Mailing address
444 ROXBURY RD, ROCKFORD, IL 61107-5059
(815) 398-3000
(815) 398-3041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02002585C
IN
207RC0000X
Cardiovascular Disease Physician
036102947
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036102947
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200413610
—
IN
Enumeration date
12/06/2005
Last updated
01/21/2015
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