Provider Demographics
NPI:1003077421
Name:ABID, FARHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:FARHAN
Middle Name:
Last Name:ABID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 824097
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33082-4097
Mailing Address - Country:US
Mailing Address - Phone:954-947-7545
Mailing Address - Fax:954-301-3770
Practice Address - Street 1:601 N FLAMINGO RD STE 416
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1012
Practice Address - Country:US
Practice Address - Phone:954-947-7545
Practice Address - Fax:954-301-3770
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98083207R00000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine