Provider Demographics
NPI:1639815525
Name:FAHHAD FARUKHI MD
Entity Type:Organization
Organization Name:FAHHAD FARUKHI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FAHHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FARUKHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-809-6862
Mailing Address - Street 1:481 SAUNDERS RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-2566
Mailing Address - Country:US
Mailing Address - Phone:847-809-6862
Mailing Address - Fax:
Practice Address - Street 1:481 SAUNDERS RD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-2566
Practice Address - Country:US
Practice Address - Phone:847-809-6862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty