Individual
DR. KHAWAJA A FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PARKWAY, ACUTE CARE PAVILION, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 481-1687
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6482
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0064651
MD
207R00000X
Internal Medicine Physician
D64651
MD
208D00000X
General Practice Physician
D64651
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145724700
DEPT OF LABOR
—
05
—
410955400
—
MD
01
—
6341083
AETNA HMO
—
01
—
7577873
AETNA PPO
—
01
—
89140405
CAREFIRST
—
01
—
F551/603019-01
CAREFIRST BWMC
MD
01
—
KJ15/89140401
CAREFIRST OF MARYLAND GBM
MD
01
—
S1380114
CAREFIRST REGIONAL GBMC
MD
01
—
S3990062
CAREFIRST
—
Enumeration date
07/06/2006
Last updated
10/05/2021
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