| Doctor Name: | MR. FARID ULLAH |
| NPI Number: | 1275636805 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME18615 |
| Business Practice Address: | 1348 S 18th St Bldg B, Suite 200 Fernandina Beach, FL - 320344785 |
| Business Phone Number: | 9042619786 |
| Business Fax Number: | 9042774143 |
| Mailing Address: | Po Box 43667, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322033667 |
| Phone Number: | 9042245189 |
| Fax Number: | 9047251622 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0901X |
| License Number: | ME18615 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Cardiology |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |