Basic Information
| Provider Information | |||||||||
| NPI: | 1568976264 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DURRANI | ||||||||
| FirstName: | FARRUKH | ||||||||
| MiddleName: | SULTAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1525 W CARO RD | ||||||||
| Address2: | |||||||||
| City: | CARO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487239686 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9174150481 | ||||||||
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| Practice Location | |||||||||
| Address1: | 610 W MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451772125 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373826611 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2017 | ||||||||
| LastUpdateDate: | 04/08/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 34.015022 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 208D00000X | 5101025915 | MI | N | Allopathic & Osteopathic Physicians | General Practice | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208M00000X | 34.015022 | OH | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.