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:
Authorized official contact:
Name: Dada, Mohammad Farooq Doctor of Medicine (MD)
Phone: (860) 523-9426
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740528967 | NPPES |
Connecticut | MEDICAID | 001400639 |
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