Individual
DR. FARIBA HASSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 W. CHURCH STREET, SUITE 1, SOMERSET, PA 15501-2251
(814) 445-3812
(814) 444-1852
Mailing address
105 W CHURCH STREET, SUITE 1, SOMERSET, PA 15501-2251
(814) 445-3812
(814) 444-1852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062097L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094423
US HEALTHCARE
—
01
—
110175670
RR MEDICARE
PA
01
—
122808
BLUE CROSS/SHIELD
PA
01
—
1502227
GATEWAY HEALTH PLAN
PA
01
—
1526315
UMWA
—
05
—
166984301
—
PA
01
—
204916
UPMC HEALTH PLAN
PA
01
—
76478
THREE RIVERS HEALTH PLAN
PA
01
—
922532
AETNA
—
01
—
PC854595
MAMSI
—
Enumeration date
07/22/2005
Last updated
04/05/2011
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