Healthcare Provider Details

I. General information

NPI: 1316941859
Provider Name (Legal Business Name): AAMER Z. FAROOKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 GOLDFINCH CIR
PHOENIXVILLE PA
19460
US

IV. Provider business mailing address

10 GOLDFINCH CIR
PHOENIXVILLE PA
19460-1061
US

V. Phone/Fax

Practice location:
  • Phone: 610-935-0613
  • Fax:
Mailing address:
  • Phone: 610-935-0613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC55218
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number57398-20
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD423651
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: