Provider Demographics
NPI:1386972917
Name:FARIAS HEALTH LLC
Entity type:Organization
Organization Name:FARIAS HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-419-1819
Mailing Address - Street 1:525 PENN ST BSMT
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3410
Mailing Address - Country:US
Mailing Address - Phone:484-252-9329
Mailing Address - Fax:844-465-6331
Practice Address - Street 1:525 PENN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3410
Practice Address - Country:US
Practice Address - Phone:610-374-4576
Practice Address - Fax:610-374-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD069311L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5001359OtherCAPITAL BC
PA2607750OtherHIGHMARK BC BS
PA20099375OtherAMERIHEALTH MERCY
PA001937640Medicaid
PA412498OtherUNITED HEALTHCARE
PA001937640Medicaid