Provider Demographics
NPI:1740632181
Name:FAROOQUI, SAMID MUHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:SAMID
Middle Name:MUHAMMAD
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 1:608 NW 9TH ST STE 5100
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1006
Mailing Address - Country:US
Mailing Address - Phone:405-272-7338
Mailing Address - Fax:405-272-6030
Practice Address - Street 1:608 NW 9TH ST STE 5100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1006
Practice Address - Country:US
Practice Address - Phone:405-272-7338
Practice Address - Fax:405-272-6030
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32327207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine