Individual
DR. FARANAK DABIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
925 PROVIDENCE RD, SUITE 8/9, SECANE, PA 19018-2920
(610) 394-1234
(610) 284-4811
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 226-8800
(215) 226-8819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37290
AZ
207R00000X
Internal Medicine Physician
Primary
MD433425
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102110891
—
PA
01
—
597586
MEDICARE GROUP
PA
01
—
CD4829
RAILROAD MEDICARE GROUP
PA
Enumeration date
07/26/2007
Last updated
08/27/2015
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