Provider Demographics
NPI:1518106764
Name:HAGHIGHI, FARZAD AVRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:FARZAD
Middle Name:AVRAHAM
Last Name:HAGHIGHI
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 1:8904 63RD DR
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3858
Mailing Address - Country:US
Mailing Address - Phone:212-961-7462
Mailing Address - Fax:
Practice Address - Street 1:8904 63RD DR
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3858
Practice Address - Country:US
Practice Address - Phone:212-961-7462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251936207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine