Provider Demographics
NPI:1821186792
Name:FAROOQI, MUHAMMAD SHAFIQUE (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:SHAFIQUE
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 1:1715 COES POST RUN
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2002
Mailing Address - Country:US
Mailing Address - Phone:216-941-5800
Mailing Address - Fax:216-941-5848
Practice Address - Street 1:10654 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5411
Practice Address - Country:US
Practice Address - Phone:216-941-5800
Practice Address - Fax:216-941-5848
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35034847F207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A74696Medicare UPIN
OH0396987Medicare ID - Type Unspecified