Provider Demographics
NPI:1497947170
Name:GOLKAR, FARHAAD CYRUS (MD)
Entity Type:Individual
Prefix:DR
First Name:FARHAAD
Middle Name:CYRUS
Last Name:GOLKAR
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:PO BOX 917770
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-7770
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:61 MEMORIAL MEDICAL PKWY STE 3806
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-5982
Practice Address - Country:US
Practice Address - Phone:386-586-1840
Practice Address - Fax:386-586-1841
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1047312086S0127X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1497947170OtherNPI
FL003577500Medicaid
FL14A4AOtherBLUE CROSS BLUE SHIELD
FLEQ376XMedicare PIN
FLEQ376YMedicare PIN