Individual provider · NPI-1

Farah Abifaraj, MD

Internal Medicine, Nephrology · Baltimore, MD

NPI number1104352962
StatusActive
Last updated in NPPESOct 5, 2022

Details

NPI
1104352962
Entity type
Individual (NPI-1)
Name
Farah Abifaraj
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 11, 2017
Certification date
Oct 5, 2022
Last updated
Oct 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, NephrologyD0094767MDYes
207R00000X Internal MedicineD0094767MD
207RN0300X Internal Medicine, NephrologyBP10060862TN
207R00000X Internal MedicineBP10060862TX

Practice location

1830 E Monument St Fl 4
Baltimore, MD 21287-0020

Phone 410-955-5268 · Fax 410-955-0485

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Phone 410-933-6423 · Fax 410-500-4266

Other practice locations

1214 N Calvert St Apt 3
Baltimore, MD 21202-3982

Phone 954-326-0151

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