Individual
DR. ALI FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
Mailing address
2986 PRAIRIE VIEW TRAIL, JACKSON, MO 63755-1227
(304) 388-8238
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
2022049874
MO
Other
Enumeration date
07/09/2015
Last updated
07/21/2023
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