| M. Farooqui Md Inc | |
|
5825 Middle Crest Dr Agoura Hills CA 91301-4606 | |
| (818) 788-4513 | |
| (818) 788-4523 |
| Full Name | M. Farooqui Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5825 Middle Crest Dr, Agoura Hills, California |
| Authorized Official Name and Position | Mohammed S. Farooqui (OWNER) |
| Authorized Official Contact | 8187884513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Farooqui Md Inc 5825 Middle Crest Dr Agoura Hills CA 91301-4606 Ph: (818) 788-4513 | M. Farooqui Md Inc 5825 Middle Crest Dr Agoura Hills CA 91301-4606 Ph: (818) 788-4513 |
| NPI Number | 1326286550 |
|---|---|
| Provider Enumeration Date | 01/26/2009 |
| Last Update Date | 01/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326286550 | NPI | - | NPPES |
| 00A979110 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A97911 (California) | Primary |
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