MEDICARE: DR. MUHAMMAD TALHA FAROOQUI M.D.

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	207R00000X	Internal Medicine Physician	R4691	TX
2	207RG0100X	Gastroenterology Physician	R4691	TX

General Provider Information

NPI Number	:	1356768303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD TALHA FAROOQUI M.D.

Provider Business Mailing Address
First Line	:	18123 UPPER BAY RD STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3875
Country	:	US
Telephone Number	:	281-523-3320
Fax Number	:

Provider Business Practice Location Address
First Line	:	18123 UPPER BAY RD STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3875
Country	:	US
Telephone Number	:	281-523-3320
Fax Number	:

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

Provider Enumeration Date	:	03/27/2014
Last Update Date	:	08/09/2024

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