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NISHAAT FAROOQUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
611 E DOUGLAS RD STE 401, MISHAWAKA, IN 46545-1468
(574) 335-6242
Mailing address
707 CEDAR ST STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8707
(574) 335-0741

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01086445A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300054073
IN
Enumeration date
03/21/2018
Last updated
09/27/2021
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