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NPI Code Detail

MEDICARE: MR. FAROOQ KHAWAJA BS

MEDICARE: MR. FAROOQ KHAWAJA BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist031750NY

General Provider Information

NPI Number : 1013191261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FAROOQ KHAWAJA BS
Provider Business Mailing Address
First Line : 330 PLAINFIELD AVE
Second Line :
City : FLORAL PARK
State : NY
Zip : 11001
Country : US
Telephone Number : 516-775-5725
Fax Number :
Provider Business Practice Location Address
First Line : 1231 WEBSTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10456-3373
Country : US
Telephone Number : 718-618-0802
Fax Number : 718-618-0804
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2007
Last Update Date : 05/25/2012

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