Provider Demographics
NPI:1295721868
Name:ABBASI-FEINBERG, FARIHA (MD)
Entity type:Individual
Prefix:DR
First Name:FARIHA
Middle Name:
Last Name:ABBASI-FEINBERG
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 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:
Practice Address - Street 1:13813 METRO PKWY
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4343
Practice Address - Country:US
Practice Address - Phone:239-936-1343
Practice Address - Fax:239-458-0666
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99004002084N0400X, 2084S0012X
FLME1410612084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN00404Medicaid
NCP00603839OtherRR MEDICARE
SC000000289768OtherUNISON HEALTH PLAN OF SC
NC891220KMedicaid
SC771915OtherWELLCARE
SCSC71725874OtherMEDICARE
SC20097582OtherSELECT HEALTH OF SC
NC2279798BMedicare PIN
NCP00603839OtherRR MEDICARE