Provider Demographics
NPI:1982881728
Name:FAROQUI, RAUFA G (MD)
Entity Type:Individual
Prefix:MS
First Name:RAUFA
Middle Name:G
Last Name:FAROQUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 EAST 54TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4211
Mailing Address - Country:US
Mailing Address - Phone:212-888-1870
Mailing Address - Fax:212-888-7066
Practice Address - Street 1:59 EAST 54TH STREET
Practice Address - Street 2:SUITE #PH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4211
Practice Address - Country:US
Practice Address - Phone:212-888-1870
Practice Address - Fax:212-888-7066
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119969207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C04638Medicare UPIN
03A761Medicare Oscar/Certification