M. Farooqui MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A97911 Issued in CA

Legal business name

M. FAROOQUI MD INC

Practice address

5825 Middle Crest Dr
Agoura Hills, CA 91301-4606

Phone

(818) 788-4513

Fax

(818) 788-4523

NPI assigned

Jan 26, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohammed S. Farooqui, MD

Title

Owner

Phone

(818) 788-4513

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1326286550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 MIDDLE CREST DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014606",
            "telephone_number": "818-788-4513",
            "fax_number": "818-788-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 MIDDLE CREST DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014606",
            "telephone_number": "818-788-4513",
            "fax_number": "818-788-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. FAROOQUI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "FAROOQUI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-788-4513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A97911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A979110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.