Provider Demographics
NPI:1225425424
Name:FARRKH, AMANA (DDS)
Entity Type:Individual
Prefix:
First Name:AMANA
Middle Name:
Last Name:FARRKH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8949 ANTARES AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-2012
Mailing Address - Country:US
Mailing Address - Phone:614-808-8494
Mailing Address - Fax:
Practice Address - Street 1:8949 ANTARES AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-2012
Practice Address - Country:US
Practice Address - Phone:720-401-3341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-25
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0246211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice