Provider Demographics
NPI:1992950034
Name:MOYEN, FARHANA RAHMAN (MD)
Entity type:Individual
Prefix:DR
First Name:FARHANA
Middle Name:RAHMAN
Last Name:MOYEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:497 WESTON CT
Mailing Address - Street 2:COPLEY
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-3030
Mailing Address - Country:US
Mailing Address - Phone:330-668-2123
Mailing Address - Fax:330-668-2123
Practice Address - Street 1:201 5TH ST NE
Practice Address - Street 2:SUITE 14
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3017
Practice Address - Country:US
Practice Address - Phone:330-615-4158
Practice Address - Fax:330-615-4157
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
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Provider Licenses
StateLicense IDTaxonomies
OH75238207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2295307Medicare PIN