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NPI Code Detail

MEDICARE: DR. AMINA FAROOQ M.D.

MEDICARE: DR. AMINA FAROOQ 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
12085R0202XDiagnostic Radiology PhysicianD98775MD
22085R0204XVascular & Interventional Radiology Physician102121GA
32085R0204XVascular & Interventional Radiology PhysicianD98775MD

General Provider Information

NPI Number : 1821520131
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMINA FAROOQ M.D.
Provider Business Mailing Address
First Line : 22 S GREENE ST # S2A19
Second Line :
City : BALTIMORE
State : MD
Zip : 21201-1544
Country : US
Telephone Number : 404-756-1368
Fax Number : 404-756-1313
Provider Business Practice Location Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-9000
Fax Number : 770-219-6021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 03/05/2026

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