Provider Demographics
NPI:1215542626
Name:FAROOQI, SABAH (DDS)
Entity Type:Individual
Prefix:
First Name:SABAH
Middle Name:
Last Name:FAROOQI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SABAH
Other - Middle Name:
Other - Last Name:BARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5110 AVENUE H
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2014
Mailing Address - Country:US
Mailing Address - Phone:832-595-0022
Mailing Address - Fax:
Practice Address - Street 1:5110 AVENUE H
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2014
Practice Address - Country:US
Practice Address - Phone:832-595-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX367101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice