Individual
FAROUQ THABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 LAUREL ST STE 1300, DES MOINES, IA 50314-3005
(515) 643-6290
(515) 643-6291
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-6290
(515) 643-6291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-41631
IA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD-41631
IA
Other
Enumeration date
07/11/2009
Last updated
03/04/2021
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