Farah Bozorgi, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

D0071493 Issued in MD

Practice address

9109 Liberty Rd
Randallstown, MD 21133-3521

Phone

(410) 655-7373

Fax

(410) 922-3649

NPI assigned

Feb 1, 2008

Last updated

Jan 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1609054675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 62ND AVE",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207373214",
            "telephone_number": "301-864-0051",
            "fax_number": "301-864-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333521",
            "telephone_number": "410-655-7373",
            "fax_number": "410-922-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZORGI",
        "first_name": "FARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0071493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Borntrager, NP
• Neal Bortmes
• Jequetta Borum
• Corinne T Bowmaker, PA-C
• Elizabeth Boyle
• Arnold Brenner, M.D.
• Bridginglife, Inc
• Bridginglife, Inc.
• Bridginglife, Inc.
• Bridginglife, Inc.

• Geriatric Medicine (Internal Medicine) Physician in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Geriatric Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.