Individual
FARHAN RASHID ISRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(321) 434-8078
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8078
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS 11747
FL
208M00000X
Hospitalist Physician
OS11747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006622300
—
FL
01
—
GK868W
MEDICARE
FL
Enumeration date
09/18/2009
Last updated
04/18/2024
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