Farah, Ronda
Farah, Ronda is an individual health care provider with primary practice located at 14500 99Th Ave N , Maple Grove MN 55369-4730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Farah, Ronda can be contacted via phone (763) 898-1570.Contact Information
Primary practice address
14500 99Th Ave N
Maple Grove MN 55369-4730
Phone: (763) 898-1570
Fax: (763) 898-1576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 58018 | Minnesota |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 40182 | Iowa |
Profile Details
| NPI number | 1386963536 |
|---|---|
| LBN Legal business name | Farah, Ronda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2010 |
| Last updated | Jul 30th, 2014 - about 10 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 | 1386963536 | NPPES |
| Minnesota | Other | H400141467 | MEDICARE PTAN |
| Minnesota | MEDICAID | 1386963536 | MEDICARE PTAN |
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