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Individual

JAMIL A FAROOQUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1401 HARRODSBURG RD, SUITE A-510, LEXINGTON, KY 40504-3751
(859) 258-6784
(859) 258-6796
Mailing address
1401 HARRODSBURG RD, SUITE A-510, LEXINGTON, KY 40504-3751
(859) 258-6784
(859) 258-6796

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36527
KY
208M00000X
Hospitalist Physician
Primary
36527
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000377982
ANTHEM
KY
01
030670000
BLACK LUNG
KY
01
36000818
MEDICAID LAB GROUP
KY
01
4000501
MEDICARE LAB GROUP
KY
01
50006184
PASSPORT HEALTH PLAN
KY
01
611427889
TRICARE
KY
05
64037518
KY
01
C72825
CUMBERLAND HEALTHCARE INC
KY
01
CB5773
RR MEDICARE GROUP
KY
01
P00316601
RAILROAD MEDICARE
KY
Enumeration date
02/15/2006
Last updated
10/20/2011
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