Individual
SHAHZAD AHMED FAROOQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4050 E 12 MILE RD, WARREN, MI 48092
(586) 261-2266
Mailing address
30700 TELEGRAPH RD STE 1645, BINGHAM FARMS, MI 48025-4525
(248) 283-1100
(248) 283-1103
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301082851
MI
2084P0802X
Addiction Psychiatry Physician
4301082851
MI
2084P0804X
Child & Adolescent Psychiatry Physician
4301082851
MI
Other
Enumeration date
01/24/2007
Last updated
09/28/2018
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