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Individual
MRS. TABASSUM FARUQI
Active
Individual
MRS. TABASSUM FARUQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108479
IL
207R00000X
Internal Medicine Physician
4301071252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M21440016
MEDICARE PLUS BLUE
MI
01
—
1000918
MCLAREN HEALTH ADVANTAGE
MI
05
—
1013968536
—
MI
01
—
110205490
RAILROAD MEDICARE
MI
01
—
1103305732
BCBS/BCN PROVIDER ID
MI
01
—
200000001184
PHP
MI
01
—
383267121
PHCS
MI
01
—
383267121010
TRICARE
MI
01
—
7484181
AETNA
MI
Enumeration date
05/12/2006
Last updated
01/08/2024
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