Provider Demographics
NPI:1689751620
Name:FARID, ASHRAF (MD)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:
Last Name:FARID
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 1:48 MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:STURBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01566-1284
Mailing Address - Country:US
Mailing Address - Phone:508-347-9111
Mailing Address - Fax:508-347-7111
Practice Address - Street 1:48 MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:STURBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01566-1284
Practice Address - Country:US
Practice Address - Phone:508-347-9111
Practice Address - Fax:508-347-7111
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047639207LP2900X, 208VP0000X
RIMD11073207LP2900X, 208VP0000X
MA212790207LP2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
202705274OtherGREAT WEST
71656OtherFALLON
RI30903OtherBCBS
20270527OtherTRICARE
7994939OtherCIGNA
AA45485OtherHPHC
202705274OtherUHP
410657OtherBLUE CHIP
RI611000601OtherDOL
RI7010395Medicaid
7162668OtherAETNA
449417OtherTUFTS
4268OtherNHP
4268OtherNHP
71656OtherFALLON
RI611000601OtherDOL