Farahmand, Mehrdad

Farahmand, Mehrdad is an individual health care provider with primary practice located at 1200 E Columbia Ave , Colville WA 99114-3354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Farahmand, Mehrdad can be contacted via phone (509) 684-3701.

Contact Information

Primary practice address
1200 E Columbia Ave Colville WA 99114-3354
Phone: (509) 684-3701
Fax: (509) 684-5817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00036564 Washington

Profile Details

NPI number 1629066733
LBN Legal business name Farahmand, Mehrdad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated May 18th, 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 1629066733 NPPES
Other 0151118 L AND I
Other AB32999 L AND I
MEDICAID 8234999 L AND I
Other 8924170 L AND I

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