Farooq Dada Llc

LBN: Farooq Dada Llc
Farooq Dada Llc is an health care organization with primary practice located at 2275 Silas Deane Hwy , Rocky Hill CT 06067-2329. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Hospitals / Psychiatric Hospital, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Farooq Dada Llc can be contacted via phone (860) 523-9426, or through Dada, Mohammad Farooq via phone (860) 523-9426.

Contact Information

Primary practice address
2275 Silas Deane Hwy Rocky Hill CT 06067-2329
Phone: (860) 523-9426
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dada, Mohammad Farooq Doctor of Medicine (MD)
Phone: (860) 523-9426

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 040063 Connecticut
Hospitals / Psychiatric Hospital 283Q00000X 040063 Connecticut
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 040063 Connecticut

Profile Details

NPI number 1740528967
LBN Legal business name Farooq Dada Llc
DBA Doing business as
Authorized official Dada, Mohammad Farooq Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2013
Last updated Aug 12th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740528967 NPPES
Connecticut MEDICAID 001400639

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