Provider Demographics
NPI:1720039209
Name:FARUQI, SOHAIB AHMED (MD)
Entity Type:Individual
Prefix:DR
First Name:SOHAIB
Middle Name:AHMED
Last Name:FARUQI
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:PO BOX 35629
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-0629
Mailing Address - Country:US
Mailing Address - Phone:214-424-2213
Mailing Address - Fax:214-231-2159
Practice Address - Street 1:18220 STATE HIGHWAY 249 STE 290
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4370
Practice Address - Country:US
Practice Address - Phone:281-897-8866
Practice Address - Fax:281-357-8886
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3640207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149570702Medicaid
TXF98950Medicare UPIN
TX8F0864Medicare ID - Type UnspecifiedMEDICARE INDV #