MEDICARE: DR. SOHAIB AHMED FARUQI MD

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	207RG0100X	Gastroenterology Physician	L3640	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	:	1720039209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOHAIB AHMED FARUQI MD

Provider Business Mailing Address
First Line	:	PO BOX 35629
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-0629
Country	:	US
Telephone Number	:	214-424-2213
Fax Number	:	214-231-2159

Provider Business Practice Location Address
First Line	:	18220 STATE HIGHWAY 249 STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4370
Country	:	US
Telephone Number	:	281-897-8866
Fax Number	:	281-357-8886

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	01/04/2022

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