Provider Demographics
NPI:1093896938
Name:FAROOQI, MUHAMMAD MOIN (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:MOIN
Last Name:FAROOQI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5307
Mailing Address - Country:US
Mailing Address - Phone:972-398-8161
Mailing Address - Fax:972-398-8121
Practice Address - Street 1:4101 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5307
Practice Address - Country:US
Practice Address - Phone:972-398-8161
Practice Address - Fax:972-398-8121
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4055207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080985701Medicaid