Individual
DR. TANIA FARUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S, M.B.S, M.D.
Contact information
Practice address
255 N ELM ST STE 101, ESCONDIDO, CA 92025-3431
(760) 489-1876
(607) 489-1748
Mailing address
255 N ELM ST STE 101, ESCONDIDO, CA 92025-3431
(760) 489-1876
(607) 489-1748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
128513
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
128513
CA
208VP0000X
Pain Medicine Physician
128513
CA
208VP0014X
Interventional Pain Medicine Physician
128513
CA
Other
Enumeration date
04/20/2010
Last updated
06/16/2021
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