Farag, Emad Samir

Farag, Emad Samir is an individual health care provider with primary practice located at 7117 Brockton Ave Ste 200 , Riverside CA 92506-2658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Farag, Emad Samir can be contacted via phone (951) 697-5460.

Contact Information

Primary practice address
7117 Brockton Ave Ste 200 Riverside CA 92506-2658
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A66905 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A66905 California

Profile Details

NPI number 1215952676
LBN Legal business name Farag, Emad Samir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 1st, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215952676 NPPES
California MEDICAID 00A669050

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