Hidaji, Faramarz Fred

Hidaji, Faramarz Fred is an individual health care provider with primary practice located at 6252 Poplar Ave , Memphis TN 38119-4713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hidaji, Faramarz Fred can be contacted via phone (901) 754-3937.

Contact Information

Primary practice address
6252 Poplar Ave Memphis TN 38119-4713
Phone: (901) 754-3937
Fax: (901) 680-7771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD0000034186 Tennessee

Profile Details

NPI number 1518956119
LBN Legal business name Hidaji, Faramarz Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 24th, 2007 - about 19 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 1518956119 NPPES
Tennessee MEDICAID 3854721
Tennessee MEDICAID 119315
Tennessee MEDICAID 3854724
Tennessee MEDICAID 158706001

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