Provider Demographics
NPI:1568231686
Name:FARAH, ZUBEYR RASHID
Entity Type:Individual
Prefix:
First Name:ZUBEYR
Middle Name:RASHID
Last Name:FARAH
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 1:11005 OKINAWA ST NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-6205
Mailing Address - Country:US
Mailing Address - Phone:763-313-0643
Mailing Address - Fax:
Practice Address - Street 1:2021 E HENNEPIN AVE STE 187
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2187
Practice Address - Country:US
Practice Address - Phone:763-321-5694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician