Individual
FAHAD FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5 PALISADES DR, ALBANY, NY 12205
(518) 438-4496
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250429
MA
207RP1001X
Pulmonary Disease Physician
Primary
294116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
888447583 01
TUFTS HEALTH PLAN
MA
Enumeration date
09/11/2009
Last updated
05/18/2021
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