Provider Demographics
NPI:1992116016
Name:FARHAT, FREBA ZAINAB (MD)
Entity type:Individual
Prefix:DR
First Name:FREBA
Middle Name:ZAINAB
Last Name:FARHAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MEDSTAR WASHINGTON HOSPITAL CENTER
Mailing Address - Street 2:5530 WISCONSIN AVENUE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:301-951-2400
Mailing Address - Fax:301-951-2401
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:301-951-2400
Practice Address - Fax:301-951-2401
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-12
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101262029208M00000X
DCCS220137047207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist