Provider Demographics
NPI:1447651914
Name:GHUMAN, FARIHA ASAD (DDS)
Entity type:Individual
Prefix:
First Name:FARIHA
Middle Name:ASAD
Last Name:GHUMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5026 65TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5811
Mailing Address - Country:US
Mailing Address - Phone:347-885-2156
Mailing Address - Fax:
Practice Address - Street 1:402 36TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4712
Practice Address - Country:US
Practice Address - Phone:347-885-2156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102585600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist