MEDICARE: DR. FAIZAN IFTIKHAR 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	174400000X	Specialist	L8740	TX

General Provider Information

NPI Number	:	1417927393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAIZAN IFTIKHAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 250709
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-0709
Country	:	US
Telephone Number	:	214-544-3355
Fax Number	:	972-547-6250

Provider Business Practice Location Address
First Line	:	2517 VIRGINIA PKWY
Second Line	:	SUITE 101
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5077
Country	:	US
Telephone Number	:	214-544-3355
Fax Number	:	972-547-6250

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	06/07/2011

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