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Organization
M. FAROOQUI MD INC
Active
Organization
M. FAROOQUI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED S. FAROOQUI MD (OWNER)
(818) 788-4513
Entity
Organization
Contact information
Practice address
5825 MIDDLE CREST DR, AGOURA HILLS, CA 91301-4606
(818) 788-4513
(818) 788-4523
Mailing address
5825 MIDDLE CREST DR, AGOURA HILLS, CA 91301-4606
(818) 788-4513
(818) 788-4523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A97911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A979110
—
CA
Enumeration date
01/26/2009
Last updated
01/26/2009
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