Provider Demographics
NPI:1457596116
Name:FARHAT, NAHID ABDURRAHIM (MD)
Entity Type:Individual
Prefix:
First Name:NAHID
Middle Name:ABDURRAHIM
Last Name:FARHAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAHID
Other - Middle Name:A
Other - Last Name:FARHAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4623 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-4542
Mailing Address - Country:US
Mailing Address - Phone:215-474-6100
Mailing Address - Fax:215-474-6123
Practice Address - Street 1:101 E OLNEY AVE STE 400
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-2470
Practice Address - Country:US
Practice Address - Phone:215-456-1825
Practice Address - Fax:215-456-5926
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine