Individual
DR. FARHAD KELIDDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
837 18TH ST, UNIT 1, SANTA MONICA, CA 90403-6710
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
13712
NH
2085R0202X
Diagnostic Radiology Physician
Primary
A80767
CA
Other
Enumeration date
05/10/2007
Last updated
06/23/2015
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