Mitra Farahati, MD

NPI #1750650222 in Wilmette, Illinois

Provider Information

NPI Number: 1750650222
Entity Type: Individual
Name: Mitra Farahati, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Dec 29, 2011
Last Updated: Dec 29, 2011

Practice Location

Address: 2135 KENILWORTH AVE
City: Wilmette
State: Illinois
ZIP Code: 60091-1521
Phone: (847) 256-5762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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