Individual provider · NPI-1

Farah Abdul, MD

Family Medicine · Cheyenne, WY

NPI number1689136202
StatusActive
Last updated in NPPESJan 9, 2024

Details

NPI
1689136202
Entity type
Individual (NPI-1)
Name
Farah Abdul
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2019
Certification date
Jan 9, 2024
Last updated
Jan 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine229-T1WYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

820 E 17th St
Cheyenne, WY 82001-4714

Phone 307-632-2434

Mailing address

820 E 17th St
Cheyenne, WY 82001-4714

Phone 307-632-2434

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