Provider Demographics
NPI:1669525911
Name:AMIN, FARZANA (MD)
Entity type:Individual
Prefix:
First Name:FARZANA
Middle Name:
Last Name:AMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1710 S AMPHLETT BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2715
Mailing Address - Country:US
Mailing Address - Phone:650-273-4082
Mailing Address - Fax:650-275-7559
Practice Address - Street 1:851 CHERRY AVE
Practice Address - Street 2:SUITE 27 #1140
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-6593
Practice Address - Country:US
Practice Address - Phone:650-273-4082
Practice Address - Fax:650-275-7559
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA950332084B0002X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyObesity Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry