Individual
IKRAM A FAROOQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. C.W.S.
Contact information
Practice address
978 WORCESTER ST STE 2, WELLESLEY, MA 02482-3709
(781) 489-5020
(781) 489-5022
Mailing address
978 WORCESTER ST STE 2, WELLESLEY, MA 02482-3709
(781) 489-5020
(781) 489-5022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
158637
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
158637
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027018
NEIGHBORHOOD HEALTH
MA
01
—
0407604
EVERCARE
MA
05
—
110060955A
—
MA
01
—
3600203
AETNA
MA
01
—
3643404
CIGNA
MA
01
—
463963
TUFTS
MA
01
—
AA7118
HARVARD PILGRIM
MA
01
—
J19902
BCBS
MA
Enumeration date
05/16/2006
Last updated
09/15/2025
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