Basic Information
| Provider Information | |||||||||
| NPI: | 1033776067 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FAROOQ | ||||||||
| FirstName: | MARIA | ||||||||
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| Credential: | BACHELOR OF MEDICINE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3600 FORBES AVENUE FORBES TOWER | ||||||||
| Address2: | PLAZA LEVEL SUITE 140 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15213 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 LOTHROP STREET | ||||||||
| Address2: | OFFICE OF EDUCATION N715 DEPARTMENT OF MEDICINE | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126924888 | ||||||||
| FaxNumber: | 4126924499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2019 | ||||||||
| LastUpdateDate: | 05/24/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | MT217522 | PA | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.