Provider Demographics
NPI:1952816506
Name:FARHAT, LAMA FARCHOUKH (MD)
Entity Type:Individual
Prefix:
First Name:LAMA
Middle Name:FARCHOUKH
Last Name:FARHAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAMA
Other - Middle Name:
Other - Last Name:FARCHOUKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:30632 ROYAL WOODS PL
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3772
Mailing Address - Country:US
Mailing Address - Phone:919-537-2158
Mailing Address - Fax:
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-647-3935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL115965207ZC0500X
PAMD463293207ZP0102X
NY301975207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology