Ambareen, Farrukh
Ambareen, Farrukh is an individual health care provider with primary practice located at 7109 Nw 11Th Pl Ste A , Gainesville FL 32605-3141. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ambareen, Farrukh can be contacted via phone (352) 331-2890.Contact Information
Primary practice address
7109 Nw 11Th Pl Ste A
Gainesville FL 32605-3141
Phone: (352) 331-2890
Fax: (352) 331-2915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301074916 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301074916 | Michigan |
Profile Details
| NPI number | 1063404457 |
|---|---|
| LBN Legal business name | Ambareen, Farrukh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063404457 | NPPES |
| Michigan | Other | 1001400042 | BCBSM |
| Michigan | MEDICAID | 104473357 | BCBSM |
| Michigan | MEDICAID | 104474917 | BCBSM |
| Michigan | MEDICAID | 104473348 | BCBSM |
| Michigan | Other | 700A460030 | BCBSM |
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