Farag, Atif
Farag, Atif is an individual health care provider with primary practice located at 1800 E Park Ave , State College PA 16803-6701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Farag, Atif can be contacted via phone (814) 231-7000.Contact Information
Primary practice address
1800 E Park Ave
State College PA 16803-6701
Phone: (814) 231-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD070335L | Pennsylvania |
Profile Details
| NPI number | 1790710358 |
|---|---|
| LBN Legal business name | Farag, Atif |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jun 19th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790710358 | NPPES |
| Pennsylvania | Other | 50020159 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | Other | 50020159 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | Other | 738002 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | Other | 57757 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | Other | P00019734 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | MEDICAID | 0017954640002 | KEYSTONE HEALTH PLAN CENT |
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