Provider Demographics
NPI:1053165266
Name:FARHAN & HUMERA M D INC
Entity type:Organization
Organization Name:FARHAN & HUMERA M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUMERA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-578-7936
Mailing Address - Street 1:7490 CHATEAU RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-7545
Mailing Address - Country:US
Mailing Address - Phone:718-578-7936
Mailing Address - Fax:
Practice Address - Street 1:7490 CHATEAU RIDGE LN
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-7545
Practice Address - Country:US
Practice Address - Phone:718-578-7936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine