Basic Information
Provider Information
NPI: 1225086168
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARUPIA
FirstName: MOHAMMAD FAROOQUE
MiddleName: HAROON
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5221 SAINT CROIX CT
Address2:  
City: RICHARDSON
State: TX
PostalCode: 750824133
CountryCode: US
TelephoneNumber: 9724231943
FaxNumber:  
Practice Location
Address1: 3500 GASTON AVE
Address2: 3 HOBLITZELLE
City: DALLAS
State: TX
PostalCode: 752462096
CountryCode: US
TelephoneNumber: 2148207604
FaxNumber: 2148202370
Other Information
ProviderEnumerationDate: 05/04/2006
LastUpdateDate: 02/14/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001XK4981TXY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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