Provider Demographics
NPI:1821001835
Name:FAROOQUI, ZUBAIR JAMAL (MD)
Entity Type:Individual
Prefix:DR
First Name:ZUBAIR
Middle Name:JAMAL
Last Name:FAROOQUI
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 1:14486 UNIVERSITY COVE PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3740
Mailing Address - Country:US
Mailing Address - Phone:813-252-2770
Mailing Address - Fax:813-252-2772
Practice Address - Street 1:14486 UNIVERSITY COVE PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3740
Practice Address - Country:US
Practice Address - Phone:813-252-2770
Practice Address - Fax:813-252-2772
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95518207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279137400Medicaid
FL279137400Medicaid
FLI 68380Medicare UPIN
FLAA849ZMedicare PIN