Farasat, Sharifeh

Farasat, Sharifeh is an individual health care provider with primary practice located at 120 Medical Park Dr Suite 300, Bridgeport WV 26330-9012. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Farasat, Sharifeh can be contacted via phone (304) 624-7200.

Contact Information

Primary practice address
120 Medical Park Dr Suite 300 Bridgeport WV 26330-9012
Phone: (304) 624-7200
Fax: (304) 624-0026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A123744 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25886 West Virginia

Profile Details

NPI number 1053553131
LBN Legal business name Farasat, Sharifeh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2009
Last updated Jan 23rd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053553131 NPPES
West Virginia MEDICAID 3810027666

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