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NPI Code Detail

MEDICARE: DR. SAIFUDHEEN FAROOG

MEDICARE: DR. SAIFUDHEEN FAROOG
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 Physician47434OK
2390200000XStudent in an Organized Health Care Education/Training Program10219202NY

General Provider Information

NPI Number : 1447023072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAIFUDHEEN FAROOG
Provider Business Mailing Address
First Line : 234 E 149TH ST # 8C32
Second Line :
City : BRONX
State : NY
Zip : 10451-5589
Country : US
Telephone Number : 718-579-4739
Fax Number :
Provider Business Practice Location Address
First Line : 234 E 149TH ST # 8C32
Second Line :
City : BRONX
State : NY
Zip : 10451-5589
Country : US
Telephone Number : 718-579-4739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2023
Last Update Date : 06/03/2026

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Directions to “ DR. SAIFUDHEEN FAROOG ” Practice Location

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