Provider Demographics
NPI:1447005434
Name:FALAHPOUR, AREIA (PA-S)
Entity type:Individual
Prefix:
First Name:AREIA
Middle Name:
Last Name:FALAHPOUR
Suffix:
Gender:M
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 RIVERSIDE DR APT 315
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605-5606
Mailing Address - Country:US
Mailing Address - Phone:407-760-2995
Mailing Address - Fax:
Practice Address - Street 1:720 RIVERSIDE DR APT 315
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-5606
Practice Address - Country:US
Practice Address - Phone:407-760-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program