Provider Demographics
NPI:1407087737
Name:FARBER, MICHAEL CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHARLES
Last Name:FARBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:CHARLES
Other - Last Name:FARBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1501 CAPITOL AVE
Mailing Address - Street 2:SUITE 71.4046, MS 4418
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-5005
Mailing Address - Country:US
Mailing Address - Phone:916-449-5149
Mailing Address - Fax:916-449-5005
Practice Address - Street 1:1501 CAPITOL AVE
Practice Address - Street 2:SUITE 71.4046, MS 4418,
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-5005
Practice Address - Country:US
Practice Address - Phone:916-449-5149
Practice Address - Fax:916-449-5005
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG39876207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease