MEDICARE: MUHAMMAD SHAFIQUE FAROOQI 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	207Q00000X	Family Medicine Physician	35034847F	OH

General Provider Information

NPI Number	:	1821186792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD SHAFIQUE FAROOQI MD

Provider Business Mailing Address
First Line	:	1715 COES POST RUN
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-2002
Country	:	US
Telephone Number	:	216-941-5800
Fax Number	:	216-941-5848

Provider Business Practice Location Address
First Line	:	10654 LORAIN AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-5411
Country	:	US
Telephone Number	:	216-941-5800
Fax Number	:	216-941-5848

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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