Provider Demographics
NPI:1609115872
Name:DIN, FARID UD (MD)
Entity Type:Individual
Prefix:
First Name:FARID
Middle Name:UD
Last Name:DIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 APPLERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3800
Mailing Address - Country:US
Mailing Address - Phone:469-493-1964
Mailing Address - Fax:732-756-9138
Practice Address - Street 1:318 W FM 544 STE B1
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4652
Practice Address - Country:US
Practice Address - Phone:469-493-1964
Practice Address - Fax:732-756-9138
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN540422084N0402X
282NW0100X
TXR42122084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No282NW0100XHospitalsGeneral Acute Care HospitalWomen