Provider Demographics
NPI:1265501118
Name:NEJAD, FARIN A (MD)
Entity Type:Individual
Prefix:DR
First Name:FARIN
Middle Name:A
Last Name:NEJAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WHITNEY STREET EXT
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-3747
Mailing Address - Country:US
Mailing Address - Phone:203-266-5707
Mailing Address - Fax:
Practice Address - Street 1:4 WHITNEY STREET EXT
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3747
Practice Address - Country:US
Practice Address - Phone:203-266-5707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0340412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTF94175Medicare UPIN
CT260002463Medicare ID - Type Unspecified