Provider Demographics
NPI:1518141209
Name:LOKEY, FARAH REHMAN (MD)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:REHMAN
Last Name:LOKEY
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 1:120 S VAL VISTA DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-1370
Mailing Address - Country:US
Mailing Address - Phone:602-933-5060
Mailing Address - Fax:480-659-9021
Practice Address - Street 1:120 S VAL VISTA DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296
Practice Address - Country:US
Practice Address - Phone:602-933-5060
Practice Address - Fax:480-659-9021
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40350208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ40350OtherMEDICAL LICENSE
AZ77039OtherTRAINING PERMIT