Provider Demographics
NPI:1639889165
Name:NASSIRI AFSHAR, FARHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:FARHAD
Middle Name:
Last Name:NASSIRI AFSHAR
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 1:1003 BISHOP ST STE 2410
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6469
Mailing Address - Country:US
Mailing Address - Phone:808-888-3020
Mailing Address - Fax:808-515-2138
Practice Address - Street 1:1003 BISHOP ST STE 2410
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6469
Practice Address - Country:US
Practice Address - Phone:808-888-3020
Practice Address - Fax:808-509-0048
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-23
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61232882207R00000X
FLME160299207R00000X
CAA-180347207R00000X
HIMD-22986207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine