Provider Demographics
NPI:1184369019
Name:AZIZ GREYE, FARRAH PARVEEN (MD)
Entity type:Individual
Prefix:
First Name:FARRAH
Middle Name:PARVEEN
Last Name:AZIZ GREYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CHURCHWELL CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9402
Mailing Address - Country:US
Mailing Address - Phone:310-570-7591
Mailing Address - Fax:
Practice Address - Street 1:916 OLIVE ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101-1400
Practice Address - Country:US
Practice Address - Phone:314-436-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2008030349OtherLYNDON F HOHENKIRK, MD