Basic Information
| Provider Information | |||||||||
| NPI: | 1164956702 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MURSHED | ||||||||
| FirstName: | FARHAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 16TH ST | ||||||||
| Address2: | BOX 0336 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941582545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154762981 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1825 4TH ST FL 6 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4153537337 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2017 | ||||||||
| LastUpdateDate: | 08/05/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | A157393 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2080P0201X | A157393 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Allergy/Immunology |
No ID Information.