MEDICARE: DR. MOHAMMED FEROZ ALLAHRAKHA 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	207Q00000X	Family Medicine Physician	ME85068	FL
2	207Q00000X	Family Medicine Physician	036-100925	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1710913116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED FEROZ ALLAHRAKHA M.D.

Provider Business Mailing Address
First Line	:	7351 W OAKLAND PARK BLVD
Second Line	:	103
City	:	TAMARAC
State	:	FL
Zip	:	33319-7107
Country	:	US
Telephone Number	:	954-716-6100
Fax Number	:	954-533-0870

Provider Business Practice Location Address
First Line	:	7351 W OAKLAND PARK BLVD
Second Line	:	103
City	:	TAMARAC
State	:	FL
Zip	:	33319-7107
Country	:	US
Telephone Number	:	954-716-6100
Fax Number	:	954-533-0870

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	11/21/2016

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