Faridad, Derek James
Faridad, Derek James is an individual health care provider with primary practice located at 5000 University Dr , Coral Gables FL 33146-2008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Faridad, Derek James can be contacted via phone (786) 308-2301.Contact Information
Primary practice address
5000 University Dr
Coral Gables FL 33146-2008
Phone: (786) 308-2301
Fax: (786) 308-2344
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME77101 | Florida |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME77101 | Florida |
Profile Details
NPI number | 1871537209 |
---|---|
LBN Legal business name | Faridad, Derek James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Nov 7th, 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 | 1871537209 | NPPES |
Florida | Other | 285183 | AVMED |
Florida | MEDICAID | 256693100 | AVMED |
Florida | Other | 46566 | AVMED |
Florida | Other | 300131767 | AVMED |
Florida | Other | 041309 | AVMED |
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