Provider Demographics
NPI:1548765241
Name:AL RAHMANI, FARAH (MD)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:AL RAHMANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FARRAH
Other - Middle Name:
Other - Last Name:RAHMANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:722 DRAKE ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2236
Mailing Address - Country:US
Mailing Address - Phone:317-696-9367
Mailing Address - Fax:
Practice Address - Street 1:840 S WOOD ST STE 376CSN
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4325
Practice Address - Country:US
Practice Address - Phone:312-996-6765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program