Provider Demographics
NPI:1992258156
Name:FAR, MAHSHID (MD)
Entity type:Individual
Prefix:DR
First Name:MAHSHID
Middle Name:
Last Name:FAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-3508
Mailing Address - Country:US
Mailing Address - Phone:610-841-8400
Mailing Address - Fax:610-841-8457
Practice Address - Street 1:400 N PEPPER AVE
Practice Address - Street 2:ARRORWHEAD REGIONAL MEDICAL CENTER
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324
Practice Address - Country:US
Practice Address - Phone:855-422-8029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program