Provider Demographics
NPI:1427162999
Name:NASR, FARIDA M (MD)
Entity type:Individual
Prefix:DR
First Name:FARIDA
Middle Name:M
Last Name:NASR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FARIDA
Other - Middle Name:NASR
Other - Last Name:TARABISHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:575 COAL VALLEY RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3730
Mailing Address - Country:US
Mailing Address - Phone:412-469-8933
Mailing Address - Fax:412-466-2990
Practice Address - Street 1:575 COAL VALLEY RD
Practice Address - Street 2:SUITE 303
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3730
Practice Address - Country:US
Practice Address - Phone:412-469-8933
Practice Address - Fax:412-466-2990
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0376-94L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD-0376-942Medicaid
PA260017441Medicare PIN
PA703026Medicare ID - Type Unspecified
PAF-10453Medicare UPIN