Dada, Mohammad Farooq

Dada, Mohammad Farooq is an sole proprietor health care provider with primary practice located at 2275 Silas Deane Hwy Suite 13, Rocky Hill CT 06067-2329. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Dada, Mohammad Farooq can be contacted via phone (860) 996-1569.

Contact Information

Primary practice address
2275 Silas Deane Hwy Suite 13 Rocky Hill CT 06067-2329
Phone: (860) 996-1569
Fax: (860) 257-7999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 040063 Connecticut
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 040063 Connecticut
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 040063 Connecticut

Profile Details

NPI number 1457307043
LBN Legal business name Dada, Mohammad Farooq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Apr 11th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457307043 NPPES
Connecticut MEDICAID 001400639

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