Ismail Farah
Individual provider Active NPI Community/Behavioral Health Agency · Fargo, ND
NPI 1992692974 · NPPES record last updated Jun 21, 2025
Key facts
- NPI
- 1992692974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 692 (ND)
- Practice address
- 4333 15TH Ave S Apt 324
Fargo, ND 58103-3356 - Phone
- (701) 541-5429
- NPI assigned
- Jun 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692 | ND | MD | Community/Behavioral Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 692 | ND | Yes |
Addresses
Primary practice location
4333 15TH Ave S Apt 324
Fargo, ND 58103-3356
Mailing address
1301 Belsly Blvd Apt 217
Moorhead, MN 56560-5176
Phone (701) 541-5429
Other providers in Fargo, ND
- Family Health Care Center
- Family Healthcare Center
- Family Nutrition and Strength LLC
- Sarah Fanai
- Asha Farah
- Fargo Care Solutions
- Fargo Chiropractic PC
- Fargo Family Dentistry PC
- Fargo Gastroenterology & Hepatology Clinic,PC
- Fargo Maple View LLC
All providers in Fargo, ND · Community/Behavioral Health Agency in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.