| Doctor Name: | FARID A IRSHAD |
| NPI Number: | 1093855900 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA00420 |
| Business Practice Address: | 25 John A Cummings Way Box # 3 Woonsocket, RI - 028953224 |
| Business Phone Number: | 4017666066 |
| Business Fax Number: | 4017666672 |
| Mailing Address: | 25 John A Cummings Way, Box # 3 WOONSOCKET |
| State: | RI |
| Postal Code: | 028953224 |
| Phone Number: | 4017666066 |
| Fax Number: | 4017666672 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 12/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA00420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |