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Individual

DR. M SHUAIB FAROOQUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1002 N CHURCH ST, SUITE 301, GREENSBORO, NC 27401-1439
(336) 274-6447
(336) 419-0012
Mailing address
1002 N CHURCH ST, SUITE 301, GREENSBORO, NC 27401-1439
(336) 274-6447
(336) 419-0012

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
200100863
NC
208600000X
Surgery Physician
4301090987
MI
2086S0120X
Pediatric Surgery Physician
Primary
200100863
NC
2086S0120X
Pediatric Surgery Physician
4301090987
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1192559
AETNA
NC
01
12805
BCBS NC
NC
01
183729
MEDCOST
NC
05
8912805
NC
Enumeration date
05/19/2006
Last updated
10/30/2020
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