Faheem M Farooq, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41365 Issued in MA

Practice address

100 Medway Road
Suite 101
Milford, MA 01757-3003

Phone

(508) 773-6288

Fax

(508) 482-5430

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1891722419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GROVE STREET",
            "address_2": "STE 305",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383156",
            "telephone_number": "508-528-5392",
            "fax_number": "508-541-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDWAY ROAD",
            "address_2": "SUITE 101",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573003",
            "telephone_number": "508-773-6288",
            "fax_number": "508-482-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "FAHEEM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "41365",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "41365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055821",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angleica Falzone
• Karla Fanning
• Nagwa B Fanous, DMD
• Robert Purcell Farmer III
• Emily Farnhill
• Theresa Farrell-Miranda
• Maren Farrell, BCBA, LABA
• Molly B Farrell
• Sarah W Farrell
• Shaina Farrell

• Internal Medicine Physician in Milford, MA
• Providers in Milford, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.