Provider Demographics
NPI:1184619447
Name:FARUQUI, AAMIR AHMED (MD)
Entity type:Individual
Prefix:DR
First Name:AAMIR
Middle Name:AHMED
Last Name:FARUQUI
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 1:2121 YGNACIO VALLEY ROAD
Mailing Address - Street 2:SUITE E-104
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598
Mailing Address - Country:US
Mailing Address - Phone:925-934-2121
Mailing Address - Fax:925-934-2112
Practice Address - Street 1:2121 YGNACIO VALLEY RD
Practice Address - Street 2:SUITE E 104
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3383
Practice Address - Country:US
Practice Address - Phone:925-934-2121
Practice Address - Fax:925-934-2112
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70207207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H05918Medicare UPIN
00A702074Medicare PIN