Farazha, Maryam

Farazha, Maryam is an individual health care provider with primary practice located at 1821 Wilshire Blvd Ste 100 , Santa Monica CA 90403-5627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Farazha, Maryam can be contacted via phone (310) 575-3100.

Contact Information

Primary practice address
1821 Wilshire Blvd Ste 100 Santa Monica CA 90403-5627
Phone: (310) 575-3100
Fax: (310) 575-3102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0060512 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A101291 California

Profile Details

NPI number 1063416840
LBN Legal business name Farazha, Maryam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 31st, 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 1063416840 NPPES
Maryland Other 8127890 MAMSI
Maryland Other K249 0002 MAMSI
Maryland Other 64147501 MAMSI

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