Individual
MOHAMMAD FAROOQ DADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2275 SILAS DEANE HWY, SUITE 13, ROCKY HILL, CT 06067-2329
(860) 996-1569
(860) 257-7999
Mailing address
18 TRUMBULL LANE, WEST HARTFORD, CT 06117
(860) 996-1569
(860) 257-7999
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
040063
CT
2084P0802X
Addiction Psychiatry Physician
040063
CT
2084P0805X
Geriatric Psychiatry Physician
040063
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001400639
—
CT
Enumeration date
05/25/2006
Last updated
04/11/2017
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