Individual
FARID UD DIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 COLISEUM DR STE 445, HAMPTON, VA 23666-5981
(757) 827-2127
(757) 827-2255
Mailing address
4000 COLISEUM DR STE 445, HAMPTON, VA 23666-5981
(757) 827-2127
(757) 827-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101248465
VA
207Q00000X
Family Medicine Physician
41694
KY
207Q00000X
Family Medicine Physician
D68446
MD
208M00000X
Hospitalist Physician
0101248465
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000730808
BCBS
KY
05
—
7100081400
—
KY
01
—
P00978136
RR MEDICARE
KY
Enumeration date
07/03/2008
Last updated
11/04/2024
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