Provider Demographics
NPI:1073584546
Name:GALAYDH, FARAH K (MD)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:K
Last Name:GALAYDH
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 621736
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32762-1736
Mailing Address - Country:US
Mailing Address - Phone:407-365-7322
Mailing Address - Fax:
Practice Address - Street 1:2572 W STATE ROAD 426
Practice Address - Street 2:SUITE 3008
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8389
Practice Address - Country:US
Practice Address - Phone:407-365-7322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2017-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89546207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273073100Medicaid
H72329Medicare UPIN
FL273073100Medicaid