Individual
NADEEM A FARUQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2563 S CRATER RD, PETERSBURG, VA 23805-2407
(804) 520-1080
(804) 520-1906
Mailing address
2563 S CRATER RD, PETERSBURG, VA 23805-2407
(804) 520-1080
(804) 520-1906
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101246823
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101246823
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205886900
—
VA
01
—
C08277
VA MEDICARE
VA
Enumeration date
05/11/2006
Last updated
01/19/2022
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