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NPI Code Detail

MEDICARE: SHEZA FARUQI PA-C

MEDICARE: SHEZA FARUQI PA-C
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
1363A00000XPhysician Assistant2025009771MO
2363A00000XPhysician Assistant15-03181KS

General Provider Information

NPI Number : 1013725803
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEZA FARUQI PA-C
Provider Business Mailing Address
First Line : 3406 BROADWAY BLVD STE B
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2767
Country : US
Telephone Number : 816-756-5839
Fax Number : 816-756-5874
Provider Business Practice Location Address
First Line : 3406 BROADWAY BLVD STE B
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2767
Country : US
Telephone Number : 816-756-5839
Fax Number : 816-756-5874
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2024
Last Update Date : 02/26/2026

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Directions to “ SHEZA FARUQI PA-C” Practice Location

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