Healthcare Provider Details

I. General information

NPI: 1972301893
Provider Name (Legal Business Name): FAROOQ SONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 GALE BLVD
MELVINDALE MI
48122-1719
US

IV. Provider business mailing address

17158 HIGDON DR
BROWNSTOWN MI
48193-1709
US

V. Phone/Fax

Practice location:
  • Phone: 888-651-3854
  • Fax: 888-651-3854
Mailing address:
  • Phone: 888-651-3854
  • Fax: 888-651-3854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD HASEEB FAROOQ
Title or Position: CEO
Credential:
Phone: 888-651-3854