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NPI Code Detail

MEDICARE: SABA FAROOQ MD

MEDICARE: SABA FAROOQ 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
1207RI0008XHepatology Physician036153232IL
2207RG0100XGastroenterology Physician86079WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
253497OTHERCTLICENSE

General Provider Information

NPI Number : 1669769824
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABA FAROOQ MD
Provider Business Mailing Address
First Line : 2160 S. IST. AVENUE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 860-463-3196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2011
Last Update Date : 12/04/2025

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Directions to “ SABA FAROOQ MD” Practice Location

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