Individual
DR. FAROOK J KIDWAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 SPRING ST, SILVER SPRING, MD 20910-3616
(301) 585-7900
(240) 766-8088
Mailing address
4215 DUSTIN RD, BURTONSVILLE, MD 20866-1020
(605) 290-0262
(240) 766-8088
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
139481
NY
207T00000X
Neurological Surgery Physician
D0089986
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03579531
—
NY
Enumeration date
05/17/2006
Last updated
06/03/2024
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