Fariha Agha M.D. S.C.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

036103441 Issued in IL

Legal business name

FARIHA AGHA M.D. S.C.

Practice address

600 Enterprise Dr Ste 218
Oak Brook, IL 60523-4200

Phone

(630) 620-0320

Fax

(630) 990-4245

NPI assigned

Dec 3, 2007

Last updated

Jan 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fariha Agha, M.D.NPI 1235217381

Title

Physician/Owner

Phone

(630) 990-4244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fariha Agha, M.D.

  • Family Medicine Physician
  • Oak Brook, IL
  • NPI 1235217381
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1780866608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR STE 218",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234200",
            "telephone_number": "630-620-0320",
            "fax_number": "630-990-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR STE 218",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234200",
            "telephone_number": "630-620-0320",
            "fax_number": "630-990-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIHA AGHA M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "FARIHA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "630-990-4244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036103441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Adult Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.