Basic Information
Provider Information
NPI: 1164528998
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NUMAN
FirstName: FARHAD
MiddleName: U
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 32335 ANNETTE CT
Address2:  
City: UNION CITY
State: CA
PostalCode: 945875101
CountryCode: US
TelephoneNumber: 5103960835
FaxNumber:  
Practice Location
Address1: 2100 NAPA VALLEJO HWY
Address2:  
City: NAPA
State: CA
PostalCode: 945586234
CountryCode: US
TelephoneNumber: 7072535000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/16/2006
LastUpdateDate: 06/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA95860CAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0804XA95860CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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