Provider Demographics
NPI:1295022887
Name:ALLI, FARAH (MD)
Entity Type:Individual
Prefix:DR
First Name:FARAH
Middle Name:
Last Name:ALLI
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 1:505 BYRN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1911
Mailing Address - Country:US
Mailing Address - Phone:410-221-7770
Mailing Address - Fax:410-221-7863
Practice Address - Street 1:505 BYRN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1911
Practice Address - Country:US
Practice Address - Phone:410-221-7770
Practice Address - Fax:410-221-7863
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0082514207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism