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MIRHASSAN FARIVAR MD PA NPI 1194984872


NPI Information

NPI: 1194984872
Provider Name: MIRHASSAN FARIVAR, MD, PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
414 NAVARRO ST
1033
SAN ANTONIO, TX
ZIP 78205
Phone: (210) 587-8888
Get Directions

MIRHASSAN FARIVAR, MD, PA is a cardiovascular disease internal medicine in San Antonio, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MIRHASSAN FARIVAR, MD, PA NPI is 1194984872. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

414 NAVARRO ST
1033
SAN ANTONIO, TX
ZIP 78205-516
Phone: (210) 587-8888
Fax: (210) 587-8889

The provider's authorized official is Mirhassan Farivar .
The authorized official title is Physician/owner and has the following contact phone number (210) 587-8888.

The enumeration date for this NPI number is 6/6/2008 and was last updated on 7/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseJ3465TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100Z679MEDICARE PINTEXAS
2196762201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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