# DR. FARRUKH SIERE PASHA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639399363
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 36116572 | IL | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | 20276 | MS | — |
| 207RR0500X | Rheumatology Physician | 54391-20 | WI | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 09/09/2011
