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Organization

SHAISTA H. FARUQUI, M.D. APMC

Active
Other names
Hematology/Oncology Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MISS TAMMY REGINA TAYLOR (BILLING MANAGER)
(225) 769-2161
Entity
Organization

Contact information

Practice address
5320 DIJON DR, BATON ROUGE, LA 70808-4313
(225) 769-2161
(225) 769-2166
Mailing address
5320 DIJON DR, BATON ROUGE, LA 70808-4313
(225) 769-2161
(225) 769-2166

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1300004
LA
Enumeration date
08/31/2011
Last updated
08/31/2011
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