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NPI Code Detail

MEDICARE: DR. SADIYA AHMED FAROOQUI D.O.

MEDICARE: DR. SADIYA AHMED FAROOQUI D.O.
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
1207Q00000XFamily Medicine PhysicianOS13341FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2OS13341OTHERFLD.O. LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710279591
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SADIYA AHMED FAROOQUI D.O.
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number : 321-332-6947
Fax Number : 407-286-4515
Provider Business Practice Location Address
First Line : 9740 N 56TH ST STE B
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-5500
Country : US
Telephone Number : 813-200-7717
Fax Number : 813-985-8500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2011
Last Update Date : 05/16/2024

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