Individual
MR. FARZAD FARYABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80147
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120443
—
MS
01
—
4354890001
PALMETTO DME
—
Enumeration date
10/03/2006
Last updated
07/08/2007
Update your record
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