Individual
UMAR FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-6637
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255
(336) 716-6637
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
2011-00019
NC
208600000X
Surgery Physician
Primary
2011-00019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919260
—
NC
Enumeration date
01/05/2012
Last updated
04/05/2012
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