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Individual

DR. HOSSEIN H FARAHANY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3626 LATROBE DR, CHARLOTTE, NC 28211-1183
(704) 364-0057
(704) 362-1611
Mailing address
3626 LATROBE DR, CHARLOTTE, NC 28211-1183
(704) 364-0057
(704) 362-1611

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23377
NC
207RC0000X
Cardiovascular Disease Physician
Primary
23377
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060067467
RAILROAD MEDICARE
NC
01
31139
BCBS
NC
05
443410
SC
05
8931139
NC
Enumeration date
05/01/2006
Last updated
10/10/2011
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