Provider Demographics
NPI:1558442194
Name:FARAH, MAHER (MD)
Entity type:Individual
Prefix:
First Name:MAHER
Middle Name:
Last Name:FARAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9533 FENDALL HALL CIR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8519
Mailing Address - Country:US
Mailing Address - Phone:334-202-7258
Mailing Address - Fax:334-283-3758
Practice Address - Street 1:805 FRIENDSHIP RD
Practice Address - Street 2:
Practice Address - City:TALLASSEE
Practice Address - State:AL
Practice Address - Zip Code:36078-1234
Practice Address - Country:US
Practice Address - Phone:334-283-3753
Practice Address - Fax:334-283-3758
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22724208M00000X
NV14373208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist