Individual
AJWAD S FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7677
(614) 293-5614
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7677
(614) 293-5614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-00-2194
OH
363A00000X
Physician Assistant
Primary
50.002194RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000603792
ANTHEM
OH
01
—
P00762657
RRMC
OH
Enumeration date
04/14/2006
Last updated
04/17/2026
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