Faraji, Hamidreza

Faraji, Hamidreza is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Faraji, Hamidreza can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 105730 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 54410 Minnesota

Profile Details

NPI number 1851670509
LBN Legal business name Faraji, Hamidreza
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2011
Last updated Oct 7th, 2011 - about 14 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 1851670509 NPPES
Minnesota MEDICAID ENROLLED

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