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NPI Code Detail

MEDICARE: FARRUKH MOHAMMED MD

MEDICARE: FARRUKH MOHAMMED 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
1207R00000XInternal Medicine Physician278721MA

General Provider Information

NPI Number : 1356792089
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARRUKH MOHAMMED MD
Provider Business Mailing Address
First Line : PO BOX 415348
Second Line :
City : BOSTON
State : MA
Zip : 02241-5348
Country : US
Telephone Number : 800-225-8885
Fax Number : 508-334-1977
Provider Business Practice Location Address
First Line : 1 GENERAL ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-2961
Country : US
Telephone Number : 978-946-8185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2016
Last Update Date : 03/13/2026

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