Provider Demographics
NPI:1265278477
Name:NAWABY, FARHANA
Entity type:Individual
Prefix:
First Name:FARHANA
Middle Name:
Last Name:NAWABY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FARHANA
Other - Middle Name:
Other - Last Name:NAWABY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1775 N SECTOR CT STE 200
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2859
Mailing Address - Country:US
Mailing Address - Phone:540-542-6208
Mailing Address - Fax:
Practice Address - Street 1:1775 N SECTOR CT STE 200
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2859
Practice Address - Country:US
Practice Address - Phone:540-542-6208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program