Provider Demographics
NPI:1316345895
Name:ALVI, FARAH (PA-C)
Entity type:Individual
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First Name:FARAH
Middle Name:
Last Name:ALVI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:7920 MCDONOGH RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5273
Mailing Address - Country:US
Mailing Address - Phone:443-693-7246
Mailing Address - Fax:866-523-4474
Practice Address - Street 1:3421 BENSON AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-1056
Practice Address - Country:US
Practice Address - Phone:443-693-7246
Practice Address - Fax:866-523-4474
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
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Provider Licenses
StateLicense IDTaxonomies
MDC05658363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical