Provider Demographics
NPI:1881056034
Name:JAMA, FARAH A (DO)
Entity type:Individual
Prefix:DR
First Name:FARAH
Middle Name:A
Last Name:JAMA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1483 BUCKINGHAM GATE BLVD
Mailing Address - Street 2:UNIT D
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-5505
Mailing Address - Country:US
Mailing Address - Phone:952-846-8051
Mailing Address - Fax:
Practice Address - Street 1:3595 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3440
Practice Address - Country:US
Practice Address - Phone:614-566-5414
Practice Address - Fax:614-566-6902
Is Sole Proprietor?:No
Enumeration Date:2016-03-27
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH34.013772207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program