| Fariba Akhavon Md Pc | |
|
316 W Acequia Ave Visalia CA 93291-6232 | |
| (559) 688-8880 | |
| (559) 688-8877 |
| Full Name | Fariba Akhavon Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 316 W Acequia Ave, Visalia, California |
| Authorized Official Name and Position | Fariba Akhavon (PHYSICIAN) |
| Authorized Official Contact | 5596888880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fariba Akhavon Md Pc 316 W Acequia Ave Visalia CA 93291-6232 Ph: (559) 688-8880 | Fariba Akhavon Md Pc 316 W Acequia Ave Visalia CA 93291-6232 Ph: (559) 688-8880 |
| NPI Number | 1598196396 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 01/27/2014 |
| Medicare PECOS PAC ID | 2466683362 |
|---|---|
| Medicare Enrollment ID | O20140318000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598196396 | NPI | - | NPPES |
| A112198 | Other | CA | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A112198 (California) | Primary |
| Provider Name | Fariba Akhavon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750575213 PECOS PAC ID: 3375735848 Enrollment ID: I20101004000437 |
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