Active NPI
Mandan Farahati, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1104135466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-044927
- Practice address
- 60 E Delaware PL
Ste 1500
Chicago, IL 60611-1998 - Phone
- (312) 944-5727
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-044927 | IL | Primary |
Addresses
Primary practice location
60 E Delaware PL
Ste 1500
Chicago, IL 60611-1998
Mailing address
60 E Delaware PL
Ste 1500
Chicago, IL 60611-1998
Phone (312) 944-5727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-044927 | IL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1104135466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 E DELAWARE PL",
"address_2": "STE 1500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606111998",
"telephone_number": "312-944-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 E DELAWARE PL",
"address_2": "STE 1500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606111998",
"telephone_number": "312-944-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAHATI",
"first_name": "MANDAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-044927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.