Provider Demographics
NPI:1518192632
Name:SALAHUDDIN, FARAH (MD)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:SALAHUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3790 EL CAMINO REAL
Mailing Address - Street 2:# 564
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-2904
Mailing Address - Country:US
Mailing Address - Phone:831-215-4040
Mailing Address - Fax:831-480-1328
Practice Address - Street 1:268 GREEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:CA
Practice Address - Zip Code:95019-3139
Practice Address - Country:US
Practice Address - Phone:831-204-7787
Practice Address - Fax:831-480-1328
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA119821207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology