Fareed-Farrukh, Sameera F
Fareed-Farrukh, Sameera F is an individual health care provider with primary practice located at 175 S Union Blvd Ste 350 , Colorado Springs CO 80910-3146. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fareed-Farrukh, Sameera F can be contacted via phone (719) 633-5515.Contact Information
Primary practice address
175 S Union Blvd Ste 350
Colorado Springs CO 80910-3146
Phone: (719) 633-5515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 8201 | Nevada |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00045691 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 8201 | Nevada |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 7760A | Wyoming |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0069803 | Colorado |
Profile Details
| NPI number | 1083600183 |
|---|---|
| LBN Legal business name | Fareed-Farrukh, Sameera F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jun 5th, 2023 - about last year |
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 | 1083600183 | NPPES |
| Colorado | Other | DR.0069803 | STATE MEDICAL LICENSE |
| Colorado | Other | 8201 | STATE MEDICAL LICENSE |
| Colorado | MEDICAID | 002017004 | STATE MEDICAL LICENSE |
| Colorado | Other | MD00045691 | STATE MEDICAL LICENSE |
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