Individual
MRS. NOSHA FARHADFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4450 MEDICAL DR FL 1, SAN ANTONIO, TX 78229-3710
(210) 575-3817
(210) 575-4113
Mailing address
4450 MEDICAL DR FL 1, SAN ANTONIO, TX 78229-3710
(210) 575-3817
(210) 575-4113
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME128403
FL
207RH0003X
Hematology & Oncology Physician
Primary
U5100
TX
207RX0202X
Medical Oncology Physician
ME128403
FL
390200000X
Student in an Organized Health Care Education/Training Program
39020000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018589600
—
FL
Enumeration date
09/27/2013
Last updated
12/14/2023
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