MEDICARE: MUHAMMAD MOIN FAROOQI M.D.

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
1	207R00000X	Internal Medicine Physician	K4055	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093896938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD MOIN FAROOQI M.D.

Provider Business Mailing Address
First Line	:	4101 W SPRING CREEK PKWY
Second Line	:	SUITE 300
City	:	PLANO
State	:	TX
Zip	:	75024-5307
Country	:	US
Telephone Number	:	972-398-8161
Fax Number	:	972-398-8121

Provider Business Practice Location Address
First Line	:	4101 W SPRING CREEK PKWY
Second Line	:	SUITE 300
City	:	PLANO
State	:	TX
Zip	:	75024-5307
Country	:	US
Telephone Number	:	972-398-8161
Fax Number	:	972-398-8121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	03/12/2014

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