Basic Information
Provider Information
NPI: 1417382912
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOODA
FirstName: FARHAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
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Mailing Information
Address1: 201 14TH ST SW
Address2:  
City: LARGO
State: FL
PostalCode: 337703133
CountryCode: US
TelephoneNumber: 7275885704
FaxNumber:  
Practice Location
Address1: THE HEART INSTITUTE
Address2: 6006 49TH ST. NORTH, STE. 200
City: ST. PETERSBURG
State: FL
PostalCode: 33709
CountryCode: US
TelephoneNumber: 7274902100
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/04/2013
LastUpdateDate: 11/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 11/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XUO3660FLN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000XUO3660FLY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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