Provider Demographics
NPI:1265842827
Name:FARHANA, DEWAN K
Entity Type:Individual
Prefix:DR
First Name:DEWAN
Middle Name:K
Last Name:FARHANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2592
Mailing Address - Country:US
Mailing Address - Phone:609-735-6620
Mailing Address - Fax:
Practice Address - Street 1:350 PROSPECT AVE
Practice Address - Street 2:APT. 704
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2592
Practice Address - Country:US
Practice Address - Phone:517-921-8032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program