Basic Information
| Provider Information | |||||||||
| NPI: | 1740632181 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FAROOQUI | ||||||||
| FirstName: | SAMID | ||||||||
| MiddleName: | MUHAMMAD | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 608 NW 9TH ST STE 5100 | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731021006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052727338 | ||||||||
| FaxNumber: | 4052726030 | ||||||||
| Practice Location | |||||||||
| Address1: | 608 NW 9TH ST STE 5100 | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731021006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052727338 | ||||||||
| FaxNumber: | 4052726030 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2016 | ||||||||
| LastUpdateDate: | 09/28/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 32327 | OK | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.