Provider Demographics
NPI:1689395568
Name:FAERMAN, AFIK (PHD)
Entity Type:Individual
Prefix:
First Name:AFIK
Middle Name:
Last Name:FAERMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:AFIK
Other - Middle Name:
Other - Last Name:FAERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94304-4258
Mailing Address - Country:US
Mailing Address - Phone:650-497-3021
Mailing Address - Fax:
Practice Address - Street 1:401 QUARRY RD
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94304-1419
Practice Address - Country:US
Practice Address - Phone:650-399-5145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program