Individual
DR. SHIRAZ FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2313 W VIOLET ST STE A, TAMPA, FL 33603-1421
(813) 278-6430
(855) 832-3509
Mailing address
PO BOX 4386, TAMPA, FL 33677-4386
(813) 278-6430
(855) 832-3509
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD19555
ME
208600000X
Surgery Physician
ME108308
FL
2086S0102X
Surgical Critical Care Physician
MD19555
ME
208C00000X
Colon & Rectal Surgery Physician
MD19555
ME
208C00000X
Colon & Rectal Surgery Physician
Primary
ME108308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002743100
—
FL
01
—
149U4
BLUE CROSS
FL
Enumeration date
02/19/2007
Last updated
01/03/2025
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