# TANIA FARUQUE M.D. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376140152
- **Authorized official:** DR. TANIA FARUQUE MD (OWNER)
- **Authorized official phone:** (734) 945-7544

## Contact information

- **Practice address:** 255 N ELM ST STE 101, ESCONDIDO, CA 92025-3431
- **Practice address phone:** (760) 489-1876
- **Practice address fax:** (760) 489-1748
- **Mailing address:** 255 N ELM ST STE 101, ESCONDIDO, CA 92025-3431
- **Mailing address phone:** (604) 891-8767
- **Mailing address fax:** (760) 489-1748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2020
- **Last updated:** 06/18/2021