Provider Demographics
NPI:1518192632
Name:SALAHUDDIN, FARAH FATIMA (MD)
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:FATIMA
Last Name:SALAHUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 E HAMILTON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0251
Mailing Address - Country:US
Mailing Address - Phone:408-866-1135
Mailing Address - Fax:408-866-7926
Practice Address - Street 1:40 PENNY LN STE 207B
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-6057
Practice Address - Country:US
Practice Address - Phone:831-204-7787
Practice Address - Fax:831-480-1328
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA119821207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine