Basic Information
| Provider Information | |||||||||
| NPI: | 1316197296 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FARUKHI | ||||||||
| FirstName: | SHAHZAD | ||||||||
| MiddleName: | RAHIM | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 8126 | ||||||||
| Address2: | |||||||||
| City: | REDLANDS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923751326 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3535 SOUTHERN BLVD | ||||||||
| Address2: | |||||||||
| City: | KETTERING | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454291221 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373846800 | ||||||||
| FaxNumber: | 9373846939 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2008 | ||||||||
| LastUpdateDate: | 02/17/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35.121397 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | A126991 | CA | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 35.121397 | OH | N | Allopathic & Osteopathic Physicians | Hospitalist | 261QU0200X | 35.121.397 | OH | N | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care | 207R00000X | A126991 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.