Farra, Frederic Thomas

Farra, Frederic Thomas is an individual health care provider with primary practice located at 190 Campus Blvd Suite 201, Winchester VA 22601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Farra, Frederic Thomas can be contacted via phone (540) 662-0306.

Contact Information

Primary practice address
190 Campus Blvd Suite 201 Winchester VA 22601
Fax: (540) 542-1843
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101041773 Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0101041773 Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 25172 West Virginia

Profile Details

NPI number 1265494959
LBN Legal business name Farra, Frederic Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jan 6th, 2015 - about 9 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 1265494959 NPPES
Other P00656329 RAILROAD MEDICARE
Other 000875693 RAILROAD MEDICARE
MEDICAID 006056954 RAILROAD MEDICARE
Other 006056954 RAILROAD MEDICARE
Other 550941600 RAILROAD MEDICARE
Other C00085 RAILROAD MEDICARE
Other 072370 RAILROAD MEDICARE
MEDICAID 286101100 RAILROAD MEDICARE
Other 3810003817 RAILROAD MEDICARE
Other 08243200000 RAILROAD MEDICARE
Other 2119636 RAILROAD MEDICARE
Other 44153 RAILROAD MEDICARE
Other 001717440 RAILROAD MEDICARE
MEDICAID 0085544000 RAILROAD MEDICARE

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