Samimi, Farokh
Samimi, Farokh is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Samimi, Farokh can be contacted via phone (570) 882-6724.Contact Information
Primary practice address
1 Guthrie Sq
Sayre PA 18840-1625
Phone: (570) 882-6724
Fax: (570) 882-6728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD038395L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD038395L | Pennsylvania |
Profile Details
| NPI number | 1386699239 |
|---|---|
| LBN Legal business name | Samimi, Farokh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Sep 16th, 2011 - about 15 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 | 1386699239 | NPPES |
| Pennsylvania | MEDICAID | 1133182 | |
| Pennsylvania | Other | GU039818 | |
| Pennsylvania | Other | CC9269 | |
| Pennsylvania | Other | P00337167 |
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