Provider Demographics
NPI:1558795963
Name:ABDI, FARHAN
Entity Type:Individual
Prefix:DR
First Name:FARHAN
Middle Name:
Last Name:ABDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N ROCK RD
Mailing Address - Street 2:APT#1308
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1743
Mailing Address - Country:US
Mailing Address - Phone:614-599-5091
Mailing Address - Fax:
Practice Address - Street 1:505 N ROCK RD
Practice Address - Street 2:APT#1308
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1743
Practice Address - Country:US
Practice Address - Phone:614-599-5091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-161171835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy