Individual
DR. FARAH IAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 ALYCIA DR, RICHMOND, KY 40475-2368
(855) 672-3888
(855) 672-3888
Mailing address
1551 TAMARIND RD, DAVENPORT, FL 33896-8608
(855) 672-3888
(855) 672-3888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042194
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000785661D
—
GA
01
—
GRP4324
MEDICARE GROUP NUMBER
GA
Enumeration date
08/11/2005
Last updated
02/27/2019
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