Provider Demographics
NPI:1174941041
Name:MERCHANT, FARAAZ (DO)
Entity type:Individual
Prefix:
First Name:FARAAZ
Middle Name:
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 N VIRGINIA ST
Mailing Address - Street 2:MAILSTOP 0196
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0196
Mailing Address - Country:US
Mailing Address - Phone:775-784-6598
Mailing Address - Fax:775-784-1298
Practice Address - Street 1:1664 N VIRGINIA ST
Practice Address - Street 2:MAILSTOP 0196
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0196
Practice Address - Country:US
Practice Address - Phone:775-784-6598
Practice Address - Fax:775-784-1298
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0072942084P0800X
390200000X
NVDO21412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program