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Individual

SAIRUS FARUQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5776 PEACHTREE DUNWOODY ROAD, SUITE 150, ATLANTA, GA 30342-4213
(404) 256-0775
Mailing address
1595 SPALDING DR, ATLANTA, GA 30350-4213
(404) 555-5555

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047426
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047426
MEDICAL LICENSE
GA
Enumeration date
08/30/2006
Last updated
03/07/2023
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