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Contact Information

NOSHA FARHADFAR, MD
4450 MEDICAL DR FL 1
SAN ANTONIO, TX78229-3710
 Phone: 210-575-3817
 Fax: 210-575-4113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Hematology

207RH0000X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NOSHA FARHADFAR · (Female)

NPI Number 1760819304
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2013
Last updated 12/14/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME128403
  • NY License # 39020000X
  • TX License # U5100
  • FL Medicaid 018589600
Hospital affiliation(s)
  • SHANDS HOSPITAL AT THE UNIVERSITY OF FLORIDA - (Acute Care)
    1600 SW ARCHER RD
    GAINESVILLE, FL 32610
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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