Provider Demographics
NPI:1821084484
Name:RAWJI, FARIAL (MD)
Entity Type:Individual
Prefix:DR
First Name:FARIAL
Middle Name:
Last Name:RAWJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 LINCOLN WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1600
Mailing Address - Country:US
Mailing Address - Phone:412-672-3633
Mailing Address - Fax:412-672-3810
Practice Address - Street 1:1432 LINCOLN WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-1600
Practice Address - Country:US
Practice Address - Phone:412-672-3633
Practice Address - Fax:412-672-3810
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035815L207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB34275Medicare UPIN
PAFA04449Medicare ID - Type Unspecified