Individual
DR. FARRUKH FAYYAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-3120
(563) 421-3129
Mailing address
1315 TERRACE PARK DR, BETTENDORF, IA 52722-1753
(718) 717-4114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125071050
IL
Other
Enumeration date
06/22/2017
Last updated
04/30/2021
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