Individual provider · Type 1 NPI

Abubaker Shadoul Mohamed Farah, MD

Internal Medicine Physician · Tavares, FL

NPI number 1104564525 Active

Practice location

1000 Waterman Way
Tavares, FL 32778-5266

Fax (352) 742-3581

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179

Other practice locations

  • 4201 St. Antoine, University Health Center, Suite 6A, Detroit, MI 48201 · (313) 745-4627

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Internal Medicine Physician Primary 207R00000XME171818 (FL)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1104564525

Abubaker Shadoul Mohamed Farah, MD's National Provider Identifier is 1104564525, issued on May 25, 2022. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Tavares, FL. The record was last updated on Aug 25, 2025.