Individual
FARZIN FORUHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-8074
(859) 301-4945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35077989
OH
207R00000X
Internal Medicine Physician
38339
KY
208M00000X
Hospitalist Physician
Primary
38339
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200477290
—
IN
05
—
2442404
—
OH
05
—
64069842
—
KY
01
—
K069020
MEDICARE PIN
KY
Enumeration date
06/06/2006
Last updated
03/22/2022
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