Individual
FARID ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11155 DUNN RD STE 109N, SAINT LOUIS, MO 63136-6148
(314) 953-8799
(314) 953-8798
Mailing address
11155 DUNN RD STE 109N, SAINT LOUIS, MO 63136-6148
(314) 953-8799
(314) 953-8798
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
036.127376
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2011000768
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
36790
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00120072
MEDICARE RAILROAD
—
Enumeration date
02/20/2006
Last updated
01/14/2022
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