Provider Demographics
NPI:1376787002
Name:FARINAS, ANGEL FRANCISCO (MD)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:FRANCISCO
Last Name:FARINAS
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 1:5673 PEACHTREE DUNWOODY RD STE 420
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1774
Mailing Address - Country:US
Mailing Address - Phone:678-208-6008
Mailing Address - Fax:404-549-9803
Practice Address - Street 1:5673 PEACHTREE DUNWOODY RD STE 420
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1774
Practice Address - Country:US
Practice Address - Phone:678-208-6008
Practice Address - Fax:404-549-9803
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA68589208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program