Provider Demographics
NPI:1942334735
Name:FARSHCHIAN, ALIMORAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ALIMORAD
Middle Name:
Last Name:FARSHCHIAN
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 1:9573 HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2501
Mailing Address - Country:US
Mailing Address - Phone:305-866-8384
Mailing Address - Fax:305-866-1189
Practice Address - Street 1:9573 HARDING AVE
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-2501
Practice Address - Country:US
Practice Address - Phone:305-866-8384
Practice Address - Fax:305-866-1189
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME077664207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG49239Medicare UPIN